Turkish Neurosurgery 1990 , Vol 1 , Num 3
TREATMENT OF LATERAL CERVICAL DISK HERNIATIONS AND STENOTIC SPINAL CANAL CAUSING MYELOPATHY-USING A MODIFIED CLOWARD'S TECHNIQUE IN 335 CASES
Do­an M. PERESE, D.A. PERESE
Main Neurosurgical Associates, Buffalo, New York Between April 1961 and April 1988. the senior author operated upon 299 patients for treatment of lateral cervical disc herniations and upon 36 patients for stenotic cervical spinal canal causing myelopathy employing a modified Cloward's technique in the Buffalo Metropolitan area. Autogeneous bone grafts were used in 324 patients. No bone graft was used after removal of the herniated discs or ruptured fragments of disc from the extradural space in 11 patients. During the first postoperative year, all the patients were examined by the author and x-rayed at the hospital where surgery had been performed. Good to excellent results were noted in 275 (91.9 %) patients with lateral disc herniations and in 32 (88.8 %) patients with myelopathy during the first year. Complications occurred in ten patients; however, nine of these patients recovered fully within three months of surgery. There was only one serious complication of quadriparesis. There was no postoperative mortality. Keywords : Anterior Cervical Surgery, Myelopathy, Radiculopathy. Ruptured disc. Stenosis