Manabe S, Tateishi A, Ohno T
Department of Orthopaedic Surgery, Teikyo University School of Medicine, Japan.
No Shinkei Geka. 1989 Feb;17(2):153-8.
Twenty patients with cervical spondylotic monoradiculopathy treated with anterolateral uncoforaminotomy were analysed. Spondylotic spur of the level associated with radiculopathy was revealed to be continuous from the uncovertebral joint to the posterior ridge of the vertebral body in 18 patients and was observed posterolaterally in two. Anterolateral uncoforaminotomy was found to safely remove continuous type of spur, resulting in decompression of the cord-root complex, which shifted anteriorly after surgery. As a result, no neurological symptoms were observed in 19 of 20 radiculopathy patients. From our present series, it could be concluded that the most important factor in relieving neurological manifestations of this disorder is anterolateral decompression of the cord-root complex.
对20例行前外侧钩椎孔切开术治疗的神经根型颈椎病患者进行了分析。在18例患者中，发现与神经根病相关节段的骨赘从钩椎关节延伸至椎体后嵴，2例在椎体后外侧观察到骨赘。发现前外侧钩椎孔切开术能够安全地切除连续性骨赘，使脊髓神经根复合体减压，术后该复合体向前移位。结果，20例神经根病患者中有19例未出现神经症状。从我们目前的系列研究可以得出结论，缓解该疾病神经症状的最重要因素是脊髓神经根复合体的前外侧减压。
