Chang Jae-Chil, Park Hyung-Ki, Choi Soon-Kwan
Department of Neurosurgery, College of Medicine, Soonchunhyang University, Seoul, Korea.
J Korean Neurosurg Soc. 2011 May;49(5):308-13. doi: 10.3340/jkns.2011.49.5.308. Epub 2011 May 31.
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.
后路颈椎椎间孔切开术是治疗某些神经根型颈椎病的一种有吸引力的治疗选择，它能保持颈椎活动范围并将相邻节段退变降至最低。该手术的重点是在减压的同时尽可能多地保留关节突。后路颈椎斜角肌椎间孔切开术（PCIF）是一种新开发的技术，通过斜角肌减压和最小限度的关节突切除可取得良好效果。我们的PCIF技术的亮点是采用斜角肌钻孔以保留更多的关节突关节。手术适应症为颈椎椎间孔狭窄（单节段或多节段）引起的神经根病，伴有持续性或复发性神经根症状。2007年4月至2009年12月期间，对26例男性和8例女性患者共55个脊柱节段进行了PCIF手术。分别有26例患者（76%）和8例患者（24%）的神经根性疼痛得到完全和部分改善，同时保留了更多的关节突关节。我们认为，在对因颈椎病导致的颈椎椎间孔狭窄进行减压时，PCIF能够保留更多的关节突关节和关节囊。我们建议，我们的PCIF技术可以成为治疗神经根型颈椎病的一种有效的替代手术方法。
