Sheng Sun-Ren, Wang Ke, Nisar Majid, Chen Jiao-Xiang, Wu Ai-Min, Wang Xiang-Yang
Department of Orthopedic Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Department of Orthopedic Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
World Neurosurg. 2018 Feb;110:e490-e495. doi: 10.1016/j.wneu.2017.11.018. Epub 2017 Nov 14.
We sought to describe the novel technique and report the outcomes of cervical spondylotic radiculopathy caused by facet joint hyperplasia treated with minimally invasive surgery by laminar and lateral mass screw cofixations.
In this retrospective study, patients with spondylotic radiculopathy caused by facet joint hyperplasia underwent this technique in our unit between January 2010 and June 2015. Hospital charts, magnetic resonance imaging studies, and follow-up records for all the patients were reviewed. Outcomes were assessed on the basis of neurologic status, magnetic resonance imaging, and visual analog scale for neck and radicular pain and by the short form-36 health survey questionnaire.
Thirteen men and 5 women, aged 47-73 years (mean, 61.8 years), were included in this study. The follow-up time ranged from 19-50 months (mean, 32.4 months). The mean visual analog scale scores for radicular pain and neck pain, as well as the scores for all 8 domains of the short form-36 health survey questionnaire, showed significant improvements (P < 0.05). Cervical lordosis showed bending, whereas the height of the targeted disk segment showed no change (P > 0.05). Complications included 2 cases of neck pain that lasted for 3 months.
Minimally invasive surgery by lamina and lateral mass screw cofixation is safe and effective for the treatment of cervical spondylotic radiculopathy caused by facet joint hyperplasia. In addition to sufficient decompression, this technique provides relative stability to the cervical spine.
我们试图描述一种新技术，并报告采用椎板和侧块螺钉联合固定的微创手术治疗小关节增生所致神经根型颈椎病的疗效。
在这项回顾性研究中，2010年1月至2015年6月期间，在我们科室对小关节增生所致神经根型颈椎病患者采用了该技术。回顾了所有患者的医院病历、磁共振成像研究和随访记录。根据神经功能状态、磁共振成像、颈部和神经根性疼痛的视觉模拟量表以及简短健康调查问卷36项来评估疗效。
本研究纳入了13名男性和5名女性，年龄47 - 73岁（平均61.8岁）。随访时间为19 - 50个月（平均32.4个月）。神经根性疼痛和颈部疼痛的平均视觉模拟量表评分以及简短健康调查问卷36项所有8个领域的评分均有显著改善（P < 0.05）。颈椎前凸呈弯曲状，而目标椎间盘节段的高度无变化（P > 0.05）。并发症包括2例持续3个月的颈部疼痛。
椎板和侧块螺钉联合固定的微创手术治疗小关节增生所致神经根型颈椎病安全有效。除了充分减压外，该技术还为颈椎提供了相对稳定性。
