文章简介

出版社:J Korean Neurosurg Soc.

作   者:Chang JC, Park HK, Choi SK.

编   号:10.3340/jkns.2011.49.5.308

年   份:2011    点击量:672

文章摘要 全文翻译

Posterior cervical foraminotomy is an attractive therapeutic option in selected cases of cervical radiculopathy that maintains cervical range of motion and minimize adjacent-segment degeneration. The focus of this procedure is to preserve as much of the facet as possible with decompression. Posterior cervical inclinatory foraminotomy (PCIF) is a new technique developed to offer excellent results by inclinatory decompression with minimal facet resection. The highlight of our PCIF technique is the use of inclinatory drilling out for preserving more of facet joint. The operative indications are radiculopathy from cervical foraminal stenosis (single or multilevel) with persistent or recurrent root symptoms. The PCIFs were performed between April 2007 and December 2009 on 26 male and 8 female patients with a total of 55 spinal levels. Complete and partial improvement in radiculopathic pain were seen in 26 patients (76%), and 8 patients (24%), respectively, with preserving more of facet joint. We believe that PCIF allows for preserving more of the facet joint and capsule when decompressing cervical foraminal stenosis due to spondylosis. We suggest that our PCIF technique can be an effective alternative surgical approach in the management of cervical spondylotic radiculopathy.

采用颈椎后路椎间孔切开术治疗特定的颈神经根病是一项不错的治疗选择,可保留颈部的活动范围,并减少相邻节段退变。手术的重点在于减压的同时尽可能多地保存了小关节。颈椎后路椎间孔斜向切开术(PCIF)是一种开发出来的新技术,通过最小关节突切除减压来实现良好预后。PCIF手术的亮点是使用钻孔术来保存更多的小关节突。手术适应证是颈椎椎间孔狭窄(单节或多节)持续或反复发作根性疼痛症状。我们于2007年4月至2009年12月对26例男性患者和8例女性患者(共55处脊髓)进行PCIF手术。分别有26例(76%)患者的神经根疼痛得到完全和局部改善和8例(24%)患者保存了更多的小关节突。我们认为,当减压由椎关节强硬导致的颈椎椎间孔狭窄时,PCIF允许保留更多的小关节突和关节囊。我们建议PCIF技术可成为一种治疗神经根型颈椎病的有效且可替代的手术方法。