Department of Neurosurgery, West Virginia University, One Medical Center Drive, Morgantown, WV 26506, USA.
Department of Neurological Surgery, University of Wisconsin, 600 Highland Avenue, K4/860, Madison, WI 53792, USA.
Neurosurg Clin N Am. 2020 Jan;31(1):9-16. doi: 10.1016/j.nec.2019.08.001. Epub 2019 Oct 23.
Unilateral cervical nerve root compression causing radiculopathy, which does not improve with conservative measures, is safely and effectively treated with surgery. Both anterior and posterior approaches have been described. Overall results from either of these broad categories of approaches are equivalent. Posterior approaches target the cervical root compression directly and allow decompression by widening the neural foramen and/or removing a lateral disc fragment. Following success of the open technique, variations of this technique were introduced to minimize approach-related complications.
单侧颈神经根受压导致神经根病,如果保守治疗无效,可通过手术安全有效地治疗。前后入路均有描述。这两种广泛类别的方法的总体结果是等效的。后路方法直接针对颈椎神经根受压,并通过扩大神经孔和/或去除外侧椎间盘碎片来实现减压。在开放式技术成功后,引入了这种技术的变体,以最大限度地减少与入路相关的并发症。