Sonone Sandeep, Dahapute Aditya A, Bhaladhare Shubhanshu Mahendra, Marathe Nandan Amrit, Balasubramanian Sai Gautham, George Prakash Kieron
Department of Orthopaedics, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.
Asian J Neurosurg. 2020 Feb 25;15(1):222-224. doi: 10.4103/ajns.AJNS_189_19. eCollection 2020 Jan-Mar.
The success and popularity of the transforaminal approach in the lumbar spine have been made possible by the routine use of pedicle screws in the lumbar spine. Transforaminal approach in the cervical spine can give access to the disc and the vertebral body anteriorly and avoid an additional anterior approach in certain clinical situations. A case of cervical spine trauma was managed by this approach. Technical details and difficulties faced were analyzed in this article. Transforaminal approach in the lower cervical spine, though has a learning curve, seems to be a feasible technique along with the use of cervical pedicle screws. The safety and reproducibility of the approach need to be substantiated with a larger study. Further, this procedure can avoid additional anterior surgery in certain situations in the cervical spine.
腰椎经椎间孔入路的成功与普及得益于腰椎椎弓根螺钉的常规使用。颈椎经椎间孔入路可在前方显露椎间盘和椎体,在某些临床情况下可避免额外的前路手术。本文报道了1例采用该入路治疗的颈椎创伤病例,并分析了其技术细节及遇到的困难。下颈椎经椎间孔入路虽有学习曲线,但结合颈椎椎弓根螺钉使用似乎是一种可行的技术。该入路的安全性和可重复性需要通过更大规模的研究来证实。此外,该手术在某些颈椎情况下可避免额外的前路手术。