Cervical disc access

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interjectionreflection

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Anyone ever do cervical disc procedures? Seen a few posts pop up lately on this, various different technologies and treatments. Not looking to do this but got me thinking if anyone actually does cervical disc access and procedures?
 
I used to do 3 level cervical discograms. Might be my least favorite procedure

Anterior approach. Compress tissue between trachea and scm. Distract carotid lateral a bit. Aim for top of VB Poke. Hit os release tissue while keeping needle tip in place. Then move into disc

Very hard to keep hands out of beam.
 
I used to do 3 level cervical discograms. Might be my least favorite procedure

Anterior approach. Compress tissue between trachea and scm. Distract carotid lateral a bit. Aim for top of VB Poke. Hit os release tissue while keeping needle tip in place. Then move into disc

Very hard to keep hands out of beam.

wait why is this your least favorite procedure?
 
why are you sticking a needle in a cervical disc?
 
Anyone ever do cervical disc procedures? Seen a few posts pop up lately on this, various different technologies and treatments. Not looking to do this but got me thinking if anyone actually does cervical disc access and procedures?
Another high risk low reward procedure with little information pointing to improvement in patient outcomes. Where do I sign up?
 
This is what happens when you stick needles in discs and F around with the nucleus. 1 year between these MRIs.
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Successful fusion!

Is there literally any reason to do these? Old school neurosurgeon likes them, but I declined.
 
Did he get a C6-7 perc disc?

I’d love to hear about Atlanta pains outcomes. Would be fascinating
Likely 150% success, because many of the patients come back as the first one did not take.
 
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Out of curiosity, would you only do this procedure at the request of a surgeon prior to surgery? Did you find this provided any sort of relief or influence to your decision making process in any significant way?
 
This particular patient had a 6-7 tdr (not seen in this image) and there was some surgical decision making on whether to/which level to acdf vs tdr one or more levels above based on cervical disco
 
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