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Clinical Article

Anterior Cervical Keyhole Fragmentectomy

Shin-Young Lee, M.D., Byung-Chan Jeon, M.D., Young-Soo Kim, M.D., Kyo-Hwang Lee, M.D., Tae-Sang Chun, M.D. and Nam-Kyu Kim, M.D.
Korean J Spine 2004;1(4):417-422.
Department of Neurosurgery, Kosin University Gospel Hospital, Busan, Korea
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's criteria. Also the patient-performed outcome assessment was graded according to a modified scale of 0(no pain) to 10(their index pain).
Results
The surgeon-performed assessment showed satisfactory results at immediate postoperation in 98.0% of 102 cases. The pain level dropped from 10 to 1.02 at immediate postoperation. The responses indicated that 92.0% of the 87 respondents were satisfied with their surgical outcome and would undergo the same keyhole procedure again if faced with a similar herniation in the future. The poor outcome occurred in 2.0% of 102 patients and 8% of respondents group. The operation time for this procedure ranged from 30 to 130 minutes. The mean hospital stay was 3.2 days(range, 1節ž9 days). There was no combined major complication.
Conclusion
Anterior cervical keyhole fragmentectomy appears to be a good alternative procedure for carefully selected patients with intractable cervicobrachial pain, which provides direct access to ruptured fragment and preservation of the motion segment avoiding fusion of disc space.

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Anterior Cervical Keyhole Fragmentectomy
Korean J Spine. 2004;1(4):417-422.
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Anterior Cervical Keyhole Fragmentectomy
Korean J Spine. 2004;1(4):417-422.
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