Quillo-Olvera Javier, Lin Guang-Xun, Suen Tsz-King, Jo Hyun-Jin, Kim Jin-Sung
Seoul St. Mary's Hospital, Spine Center, Department of Neurosurgery, College of Medicine, The Catholic University of Korea, Seoul, South Korea.
J Clin Neurosci. 2018 Feb;48:218-223. doi: 10.1016/j.jocn.2017.11.012. Epub 2017 Nov 22.
Cervical spondylotic myelopathy (CSM) is the most common degenerative disease of the spine in elderly patients. Although there are several surgical options for the treatment of this disease, minimally invasive techniques for localized decompression of the true clinical generator of the patient's disease has revolutionized spinal surgery recently. This article presents an alternate application of the anterior transcorporeal tunnel approach in combination with computed tomography (CT)-based intraoperative navigation in the treatment of patients with cervical myelopathy secondary to spondylosis. Three clinical cases are used as examples to demonstrate how this procedure can be used to decompress a localized target in cervical spondylotic myelopathy. Clinical images of each case are shown. Cervical decompression was successfully achieved in all three patients, with the improvement of preoperative symptoms. The anterior transcorporeal tunnel approach combined with the use of CT-based intraoperative spinal navigation may be a feasible minimally invasive procedure for the treatment of cervical spondylotic myelopathy in selected cases.
脊髓型颈椎病（CSM）是老年患者中最常见的脊柱退行性疾病。尽管针对该疾病有多种手术治疗选择，但针对患者疾病真正临床病因进行局部减压的微创技术近来彻底改变了脊柱外科手术。本文介绍了经体前隧道入路结合基于计算机断层扫描（CT）的术中导航在治疗颈椎病继发脊髓病患者中的另一种应用。以三个临床病例为例，展示该手术如何用于脊髓型颈椎病的局部靶点减压。展示了每个病例的临床图像。所有三名患者均成功实现颈椎减压，术前症状得到改善。经体前隧道入路结合基于CT的术中脊柱导航在某些选定病例中可能是治疗脊髓型颈椎病的一种可行的微创手术。
