后路经皮全内镜下颈椎椎间孔切开术治疗骨性椎间孔狭窄的临床观察
Clinical Observation of Posterior Percutaneous Full-Endoscopic Cervical Foraminotomy as a Treatment for Osseous Foraminal Stenosis.
作者信息
Ye Zhi-Yuan, Kong Wei-Jun, Xin Zhi-Jun, Fu Qiang, Ao Jun, Cao Guang-Ru, Cai Yu-Qiang, Liao Wen-Bo
机构信息
Department of Spine Surgery, The Affiliated Hospital of Zun Yi Medical College, District Hui Chuan, Zun Yi, People's Republic of China.
Institute of Organ Transplantation, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Cheng du, Si chuan, People's Republic of China.
出版信息
World Neurosurg. 2017 Oct;106:945-952. doi: 10.1016/j.wneu.2017.07.085. Epub 2017 Jul 21.
OBJECTIVE
To observe the clinical effects of posterior percutaneous full-endoscopic cervical foraminotomy in patients with osseous foraminal stenosis.
METHODS
Nine patients with osseous foraminal stenosis underwent surgery using the posterior percutaneous full-endoscopic cervical foraminotomy technique and received follow-up care for 1 year. The visual analog scale score, neck disability index, and modified Macnab criteria were recorded at the last follow-up. All patients underwent three-dimensional computed tomography of the cervical spine, which was reviewed within 1 week postoperatively.
RESULTS
All operations were successful, and all patients received follow-up care. The mean operation time was 80 minutes. Surgical bleeding was not observed, and no related complications occurred. Postoperative visual analog scale and neck disability index scores were significantly reduced compared with the preoperative assessment. In addition, imaging showed that the osteophytes in the intervertebral foramen were adequately resected. According to modified Macnab criteria, 6 cases showed excellent results, 3 cases showed good results, and no fine or bad results were observed.
CONCLUSIONS
Posterior percutaneous full-endoscopic cervical foraminotomy can accomplish full nerve root decompression and is a safe, feasible procedure. Therefore, it can be a treatment option for patients with osseous foraminal stenosis.
目的
观察后路经皮全内镜下颈椎椎间孔切开术治疗骨性椎间孔狭窄患者的临床效果。
方法
9例骨性椎间孔狭窄患者采用后路经皮全内镜下颈椎椎间孔切开术进行手术，并接受了1年的随访。末次随访时记录视觉模拟评分、颈部功能障碍指数和改良Macnab标准。所有患者均接受了颈椎三维计算机断层扫描，并在术后1周内进行了复查。
结果
所有手术均成功，所有患者均接受了随访。平均手术时间为80分钟。未观察到手术出血，未发生相关并发症。与术前评估相比，术后视觉模拟评分和颈部功能障碍指数评分显著降低。此外，影像学显示椎间孔内骨赘被充分切除。根据改良Macnab标准，6例效果优良，3例效果良好，未观察到效果差或不佳的情况。
结论
后路经皮全内镜下颈椎椎间孔切开术可实现神经根充分减压，是一种安全、可行的手术方法。因此，它可以作为骨性椎间孔狭窄患者的一种治疗选择。
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