Surgical treatment of the degenerative disc disease has evolved from traditional open spine surgery to minimally invasive spine surgery including endoscopic spine surgery. Constant improvement in the imaging modality especially with introduction of the magnetic resonance imaging, it is possible to identify culprit degenerated disc segment and again with the discography it is possible to diagnos...

A nterior cervical discectomy and fusion (ACDF) has been performed with various techniques and devices for many years. Autologous iliac crest grafts were initially used for the Cloward and Robinson and Smith techniques, but because of iliac crest graft site complications (eg, pain, infection, fracture, dystrophic scarring), the procedure was generally superseded by allograft implants. These imp...

The author presents a simplified technique for midline screw-plate fixation in fusion procedures after anterior cervical discectomy, in which the plate is introduced over the Caspar distractor pins. The Uniplate system used, with a single screw in each vertebral body, minimizes bone damage to the vertebral body as the screws can be fixed in the holes previously used for the Caspar distractor pi...

Background and Purpose: Cervical traction has been used for more than 50 years for the treatment of cervical disk pathology. However, there is a paucity of research in regard to the use of postoperative traction following surgery. The purpose of this case series is to describe evidence-based treatment using cervical traction for herniated nucleus pulposus (HNP) after anterior cervical discectom...

Background: Autograft bone is still the gold standard as fusion substrate in anterior cervical discectomy and fusion (ACDF). In patients underwent combined posterior laminectomy and anterior discectomy surgery, whether the resected structural cervical laminae are suitable for bone graft in ACDF during the surgery remains unclear. The purpose of this study is to evaluate if the height and area o...