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. 2022 Dec 2:13:568.
doi: 10.25259/SNI_996_2022. eCollection 2022.

Modified anterior retropharyngeal approach for C2-C3 disc herniation

Affiliations

Modified anterior retropharyngeal approach for C2-C3 disc herniation

Keyvan Mostofi et al. Surg Neurol Int. .

Abstract

Background: C2-C3 disc herniations are rare, but occur more frequent in the elderly population. As the classical anterior Cloward approach to these lesions is not optimal, we propose an alternative modified retropharyngeal approach to these disc herniations that were successfully utilized in two patients.

Methods: Two patients with C2-C3 disc herniations underwent anterior cervical surgery utilizing the modified retropharyngeal approach.

Results: Surgery was successful is two cases with C2-C3 disc herniation and no patient sustained a perioperative complication.

Conclusion: Our modified anterior retropharyngeal approach for C2-C3 disc herniations resulted in good outcomes without perioperative complications.

Keywords: Cervical disc herniation; Degenerative diseases; Disc herniation; Spine surgery; Upper cervical instrumentation.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1:
Figure 1:
Cutaneous incision.
Figure 2:
Figure 2:
Position and incision.
Figure 3:
Figure 3:
Superficial dissection.
Figure 4:
Figure 4:
Submandibular dissection.
Figure 5:
Figure 5:
Deep dissection.
Figure 6:
Figure 6:
Deep surgical field with vessels.

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References

    1. Antich PA, Sanjuan AC, Girvent FM, Simó JD. High cervical disc herniation and Brown-Sequard syndrome. A case report and review of the literature. J Bone Joint Surg Br. 1999;81:462–3. - PubMed
    1. Chau AM, Wong JH, Mobbs RJ. Cervical myelopathy associated with congenital C2/3 canal stenosis and deficiencies of the posterior arch of the atlas and laminae of the axis: Case rport and review of the literature. Spine (Phila Pa 1976) 2009;34:E886–91. - PubMed
    1. Chen TY. The clinical presentation of uppermost cervical disc protrusion. Spine (Phila Pa 1976) 2000;25:439–42. - PubMed
    1. Kotil K, Sengoz A. The management in the C2-C3 disc herniations: A clinical study. Turk Neurosurg. 2011;21:15–21. - PubMed
    1. Oka DN, Kouakou F, Haro Y, Sarki SI. Cervical spine disc herniation at C2-C3 level: Study of a clinical observation and literature review. Rom Neurosurg. 2015;29:459–64.

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