Rao Prashanth J, Christie John G, Ghahreman Ali, Cartwright Catherine A, Ferch Richard D
Department of Neurosurgery, The Canberra Hospital, Yamba Drive, Garran, ACT 2605, Australia.
J Clin Neurosci. 2008 Dec;15(12):1354-9. doi: 10.1016/j.jocn.2007.12.009. Epub 2008 Oct 30.
Anterior cervical discectomy without fusion is an effective treatment for myeloradiculopathy arising from a medial disc prolapse. However, the long-term clinical results are not well known. Between 2000 and 2006, 38 patients with persistent radiculopathy and medial disc prolapse or myelopathy due to acute disc prolapse underwent subtotal anterior cervical discectomy without fusion. Patients were evaluated with respect to pain, myelopathy and functional outcome. Thirty-four patients were followed up for an average of 48.6 months. Following surgery, neck pain improved by 69% in 88% of patients, arm pain improved by 76% in 91% of patients and 76% of the patients were able to resume working in their previous occupation. We conclude anterior cervical decompression without fusion can be associated with good clinical results that are sustained in patients with predominant acute soft disc prolapse generating medial nerve root compression or cord compression.
前路颈椎间盘切除不融合术是治疗因椎间盘内侧突出引起的脊髓神经根病的有效方法。然而，其长期临床效果尚不清楚。2000年至2006年期间，38例因持续性神经根病、椎间盘内侧突出或急性椎间盘突出导致脊髓病的患者接受了前路颈椎次全间盘切除不融合术。对患者的疼痛、脊髓病和功能结局进行了评估。34例患者平均随访48.6个月。手术后，88%的患者颈部疼痛改善了69%，91%的患者手臂疼痛改善了76%，76%的患者能够恢复之前的工作。我们得出结论，前路颈椎减压不融合术可带来良好的临床效果，对于以急性软性椎间盘内侧突出导致神经根或脊髓受压为主的患者，这种效果可持续。
