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In the majority of cases of cervical disc herniation, the approach is by the anterior-lateral route, from the middle region of the neck towards one side, which may be the right or the left depending on the surgeon. The incisions are around 3-4 cm, and an intradermal suture is performed for aesthetic reasons. Another option is the posterior approach, but it is not performed as frequently.
Adjacent segment syndrome can be defined as the appearance of degenerative changes near to a vertebral level treated surgically (generally by using vertebral fusion). That is to say, after the joining of two or more vertebrae, changes can be produced in the natural mechanics of the spine that could lead to the appearance of diseases in the adjacent vertebrae.
The advanced techniques are leading to increasingly greater precision and safety in the interventions. New, less invasive surgical techniques that cause less damage in the tissues have been developed, as well as dynamic implants that try to simulate a more natural movement of the spine.
Published: 25 October 2019
Updated: 25 October 2019
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