Cervical radiculopathy can be treated by anterior endoscopic approach to access its target pathology decompressing the spinal nerve roots without fusion.The transforaminal anterior percutaneous endoscopic cervical discectomy approach is easy way to transverse process and decompress and remove the osteophytes. This technique improved by opening a hole to the prominent disc fiber to decrease disc pressure by dissecting the section of disc and reducing the mechanical pressure around the pulp and nerve root which form the nucleus pulpous and fibers. It allows adequate decompression of neural elements and resolution of the other pathological process. This method preserves spinal motion, stability and reduces the risk of vertebral injury.Understanding the anatomical changes occurred due to ageing will help a surgeon to plan the specific approaches to surgical cervical spine intervention and help to reduce complication rates.

Santosh Kumar Bashyal MD(Ortho),PhD(Spine),PhD Scholar(Buddhism)Orthopedic and Spine Surgeon ,Scientist,Professional leader, academician. Working as lecturer and Consultant Orthopedic and Spine surgeon at Kathmandu Univesity affiliated Hospital,Nepal.Core member at Value Commitee of NASS,reviewer board at Spine,JOCR,OAT publication.