Department of Neuroscience, Division of Neurosurgery, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
Department of Anatomy, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
Br J Neurosurg. 2021 Aug;35(4):480-485. doi: 10.1080/02688697.2021.1887450. Epub 2021 Feb 15.
Cervical decompressive laminectomy with lateral mass arthrodesis is a common neurosurgical procedure used to address a variety of cervical spine pathologies.
This study aimed to determine the safety and efficacy of this neurosurgical procedure using the Anderson-Sekhon technique for screw trajectory.
The study retrospectively reviewed all clinical and radiological indicators for patients who underwent lateral mass arthrodesis between December 2005 and December 2017. All patients underwent polyaxial screw-rod implants using the Anderson-Sekhon technique for screw trajectory. It additionally reported all intra- and post-operative complications, along with short- and long-term outcomes for these patients. The follow-up period ranged from 2 months to 10 years.
The study evaluated 695 patients who received a total of 4120 lateral mass screws. This is considered the largest reported case series up to date. No patients had neuro-vascular injuries. The main complications included 51 (7.3%) cases of screw malposition, as when the screw had breached either of foramen transversarium, neural foramen, or the facet joint; 39 (5.6%) cases of lateral mass breakdown; 29 (4.2%) cases of C5 root pain which has subsided overtime; 22 (3.2%) of incidental durotomy; and 18 (2.6%) cases of postoperative wound infection. There were only 3 cases of screw pullout leading to a stability rate of 99.5%. Most cases demonstrated very good to excellent outcomes on both short- and long-term follow-up.
Cervical decompressive laminectomy with lateral mass arthrodesis is a safe and effective technique for the management of different cervical spine pathologies, which results in favourable short- and long-term outcomes.
颈椎减压性椎板切除术联合侧块关节融合术是一种常见的神经外科手术，用于治疗多种颈椎疾病。
本研究旨在使用安德森-塞克洪（Anderson-Sekhon）螺钉轨迹技术确定该神经外科手术的安全性和有效性。
该研究回顾性分析了 2005 年 12 月至 2017 年 12 月期间行侧块关节融合术的所有临床和影像学指标的患者。所有患者均采用安德森-塞克洪螺钉轨迹技术行多轴螺钉-棒植入物治疗。此外，还报告了所有围手术期并发症，以及这些患者的短期和长期结果。随访时间为 2 个月至 10 年。
该研究共评估了 695 例患者，共植入 4120 枚侧块螺钉。这被认为是迄今为止报告的最大病例系列。没有患者发生神经血管损伤。主要并发症包括 51 例（7.3%）螺钉位置不当，如螺钉穿过横突孔、神经孔或关节突关节；39 例（5.6%）侧块破裂；29 例（4.2%）C5 神经根痛，随时间推移逐渐缓解；22 例（3.2%）偶然硬脊膜切开术；18 例（2.6%）术后伤口感染。只有 3 例螺钉拔出导致稳定性为 99.5%。大多数病例在短期和长期随访中均表现出良好至极好的结果。
颈椎减压性椎板切除术联合侧块关节融合术是一种安全有效的治疗不同颈椎疾病的方法，可获得良好的短期和长期效果。
