The "State Medical University "of the Ministry of Health of Russia, 630091, Siberian Federal District, Novosibirsk Region, Novosibirsk, Krasny Prospect Str., 52.
The " Federal Neurosurgical Center " of the Ministry of Health of the Russian Federation Novosibirsk., 630087, Novosibirsk Region, Novosibirsk, Nemirovicha-Danchenko Str., 132/1.
Spine J. 2021 Jun;21(6):915-923. doi: 10.1016/j.spinee.2021.01.024. Epub 2021 Feb 2.
Anterior cervical discectomy and fusion is a common procedure for degenerative cervical radiculopathy. In 1996, Dr. H.D. Jho reported an operative technique allowing nerve root decompression via anterior uncoforaminotomy whereas avoiding fusion.
To assess long-term clinical and radiological outcomes of anterior uncoforaminotomy in patients with degenerative cervical spine pathology.
A single clinic, retrospective cohort study.
Adult patients who underwent anterior uncoforaminotomy from 2013 to 2018.
Clinical outcomes were assessed using VAS, NDI, SF-36 criteria. Radiological parameters included sagittal balance, disc height and White anPanjabi criterion.
All patients underwent unilateral single-level anterior uncoforaminotomy, and long-term clinical and radiologic follow up was carried out. Clinical outcomes were assessed using VAS, NDI, SF-36 criteria. Radiological parameters evaluated included sagittal balance, disc height and White and Panjabi criteria (3.5 mm of translation, 11 degrees of kyphosis). The mean follow-up period was 33.3 ± 10.6 months (range 12-57 months).
All measures of clinical outcome improved. VAS (neck) and VAS (arm) decreased 3 [2; 4] and 5 [3; 5.2] points (median [interquartile range]), respectively (p<0.001); NDI improved from 0.38 [0.36; 0.4], to 0.29 [0.22; 0.34] (p<0.001). Two patients (6%) required additional surgery one year after operation. There were no complications in the perioperative period. Disc height decreased 0.8 mm [0.1; 2.1] (p<0.001). All patients retained stability of the cervical spine based on White and Panjabi criteria. Sagittal balance parameters did not change significantly.
Uncoforaminotomy is an effective and safe method to decompress a unilateral single-level nerve root in degenerative cervical radiculopathy whereas preserving anatomy and motion of the cervical spine.
颈椎前路椎间盘切除术和融合术是治疗退行性颈椎神经根病的常见方法。1996 年，H.D. Jho 医生报告了一种手术技术，通过前路钩突切除术实现神经根减压，同时避免融合。
评估退行性颈椎病变患者前路钩突切除术的长期临床和影像学结果。
单诊所、回顾性队列研究。
2013 年至 2018 年接受前路钩突切除术的成年患者。
临床结果采用 VAS、NDI、SF-36 标准评估。影像学参数包括矢状平衡、椎间盘高度和 White 和 Panjabi 标准。
所有患者均行单侧单节段前路钩突切除术，并进行长期临床和影像学随访。临床结果采用 VAS、NDI、SF-36 标准评估。评估的影像学参数包括矢状平衡、椎间盘高度和 White 和 Panjabi 标准（3.5 毫米平移，11 度后凸）。平均随访时间为 33.3±10.6 个月（范围 12-57 个月）。
所有临床结果测量均改善。VAS（颈部）和 VAS（手臂）分别降低 3[2；4]和 5[3；5.2]点（中位数[四分位距]）（p<0.001）；NDI 从 0.38[0.36；0.4]改善至 0.29[0.22；0.34]（p<0.001）。两名患者（6%）在术后一年需要再次手术。围手术期无并发症。椎间盘高度降低 0.8 毫米[0.1；2.1]（p<0.001）。所有患者根据 White 和 Panjabi 标准保持颈椎稳定性。矢状平衡参数无明显变化。
钩突切除术是一种有效且安全的方法，可在退行性颈椎神经根病中单侧单节段神经根减压，同时保留颈椎的解剖结构和运动功能。
