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Minimally invasive – fast recovery: Cervical disc replacement surgery via endoscopic camera (Endoscopic ACDF).
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Currently, many people are experiencing increased neck, shoulder, and upper back pain due to work and lifestyle habits. As a result, many may neglect the treatment of neck pain, leading to conditions such as cervical disc herniation with nerve compression, which in some cases causes severe pain and inability to move the neck.
Warning signs of cervical disc herniation (nerve compression in the neck).
People with cervical disc herniation compressing the nerves will experience symptoms that begin with chronic pain in the neck, shoulders, and upper back, or difficulty moving the neck. There may also be radiating pain to the arms, hands, and fingers, and possibly numbness. In severe cases of nerve compression, weakness may occur, such as difficulty walking, inability to take steps, or decreased strength in the hands and arms.
Treat neck, shoulder, and upper back pain at the source.
Treatment for cervical disc herniation varies depending on the severity of the symptoms. For mild cases, pain can be relieved through physical therapy and medication. However, if there is numbness, weakness in the arm, or severe symptoms affecting balance, it is crucial to seek treatment from a spine specialist. This involves X-rays and MRI scans to determine the cause. If disc degeneration is confirmed, the doctor will consider appropriate treatment options. For minor cases, laser ablation or endoscopic surgery may be used. In chronic cases where the disc is severely degenerated and unusable, cervical disc replacement surgery, known as Endoscopic Anterior Cervical Discectomy and Fusion (Endoscopic ACDF), is an effective option.
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Cervical disc replacement surgery for nerve compression.
Cervical disc replacement surgery involves making an incision in the front of the neck. The surgeon will separate the muscle layers and five vital organs: the trachea, esophagus, aorta, vena cava, and nerves. Then, the degenerated or compressing cervical disc is removed and replaced with an artificial disc to relieve nerve and spinal cord compression. Most cases are performed using an open surgical technique with a microscope, resulting in an incision approximately 5 centimeters in size.
A new innovation: minimally invasive cervical disc replacement with minimal trauma.
Currently, medical treatment has evolved with technological advancements. Lenses have been developed to improve visibility through the use of light-guided systems, leading to the development of new types of cameras, namely endoscopes. This has resulted in techniques such as Endoscopic Anterior Cervical Discectomy and Fusion (Endoscopic ACDF), which allows doctors to visualize the intervertebral discs more clearly without requiring a large incision. Because there is no fusion of the cervical vertebrae, the incision size is reduced to only 1-2 centimeters, or depending on the size of the artificial disc.
Shorter surgery time “reduces complications”.
Research from Germany compared the outcomes of two surgical methods: endoscopic cervical disc replacement, which takes approximately 62 minutes and carries risks such as loss of intervertebral space height, difficulties accessing the surgical area, and degeneration of surrounding tissues due to loss of movement; and endoscopic surgery, which takes an average of 32 minutes. Shorter surgery times result in fewer complications, including increased safety, less damage to soft tissues in the neck, reduced post-operative infection, less blood loss, faster recovery, and a shorter recovery period compared to traditional methods.

However, Endoscopic Anterior Cervical Discectomy and Fusion (Endoscopic ACDF) treatment for cervical disc herniation requires comprehensive and state-of-the-art equipment, along with specialized spine specialists. S Hospital's distinct strength lies in its team of doctors and nurses specializing in spine diseases, coupled with the integration of modern innovations from around the world to aid treatment. This caters to patients with limited time, offers faster recovery, minimizes suffering, and is ideal for those who fear surgery.
Article referenced by:
Sebastian Ruetten, Martin Komp, Harry Merk, and Georgios Godolias : Int Orthop. 2009 Dec; 33(6): 1677–1682.; Full-endoscopic anterior decompression versus conventional anterior decompression and fusion in cervical disc herniations
Dr. Wisit Sae-Lao, Spine Specialist.

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