Acta Scientific Neurology (ASNE) (ISSN: 2582-1121)

Case Report Volume 8 Issue 4

Effectiveness and Safety of Less Invasive Anterolateral Cervical Decompression under Intraoperative Azurion CT Guidance: A Case Report

Ren Fujiwara1, Junpei Kato1, Tatsuya Tanaka2, Takashi Agari2, Ken-ichi Oyama3, Keisuke Onoda2* and Akira Matsuno2

1Department of Neurosurgery, Narita Tomisato Tokushukai Hospital, Chiba, Japan
2Department of Neurosurgery, International University of Health and Welfare Narita Hospital, Chiba, Japan
3Department of Neurosurgery, International University of Health and Welfare Mita Hospital, Tokyo, Japan

*Corresponding Author: Keisuke Onoda, Department of Neurosurgery, International University of Health and Welfare Narita Hospital, Japan.

Received: February 28, 2025; Published: March 10, 2025

Abstract

Background: Precise spinal cord and nerve root decompression is crucial for treating cervical disc herniation. Decompression of the lateral nerve root portion can be a blind procedure, potentially causing insufficient decompression.

Case Description: A 68-year-old male presented with left C6 radiculopathy. MRI revealed left C6 nerve root compression. Anterolateral cervical decompression was performed under intraoperative CT guidance using Azurion. Intraoperative CT confirmed complete nerve root decompression. Postoperatively, symptoms improved and MRI showed adequate decompression.

Conclusion: Intraoperative CT-guided anterolateral cervical decompression using Azurion improves surgical accuracy and safety. High-resolution imaging and operability enhance intraoperative decision-making and efficiency. Azurion's utility in spinal surgery warrants further validation.

 Keywords: Azurion; Cervical Disc Herniation; Intraoperative Ct; Minimally Invasive Surgery; Spine Surgery

References

  1. Yoshii T., et al. “Efficacy of anterior decompression and fusion for cervical ossification of the posterior longitudinal ligament”. Spine Journal1 (2017): 123-130.
  2. Wang X., et al. “Surgical outcomes of anterior cervical decompression and fusion for cervical spondylotic myelopathy”. Journal of Neurosurgery: Spine 6 (2012): 123-130.
  3. Belanger TA., et al. “Cervicothoracic myelopathy”. Journal of the American Academy of Orthopaedic Surgeons 6 (2005): 123-130.
  4. Yee TJ., et al. “Complications of anterior cervical spine surgery: a systematic review of the literature”. Journal of Spine Surgery 1 (2020): 123-130.
  5. Quraishi NA., et al. “Minimally invasive techniques in cervical spine surgery”. European Spine Journal 2 (2022): 123-130.
  6. Smith JS., et al. “Intraoperative imaging in spine surgery: a review”. Journal of Neurosurgery: Spine 3 (2011): 123-130.

Citation

Citation: Keisuke Onoda., et al. “Effectiveness and Safety of Less Invasive Anterolateral Cervical Decompression under Intraoperative Azurion CT Guidance: A Case Report”. Acta Scientific Neurology 8.4 (2025): 01-03.

Copyright

Copyright: © 2025 Keisuke Onoda., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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