Department of Orthopedic Surgery, The Fourth Affiliated Hospital of Zhejiang University School of Medicine, Yiwu, Zhejiang, China.
Department of Science and Education, The Fourth Affiliated Hospital of Zhejiang University School of Medicine, Yiwu, Zhejiang, China.
Clin Spine Surg. 2024 Feb 1;37(1):23-30. doi: 10.1097/BSD.0000000000001507. Epub 2023 Aug 9.
Retrospective control study.
To compare the curative effects of unilateral biportal endoscopic posterior cervical foraminotomy (UBE-PCF) with full-endoscopic posterior cervical foraminotomy (FPCF).
There are few studies directly comparing outcomes between UBE-PCF and FPCF. The objective of this study was to compare outcomes between UBE-PCF and FPCF.
A retrospective control study was conducted for 69 patients of cervical radiculopathy from July 2019 to December 2021. Clinical outcomes scores, including neck disability index, visual analog scale (VAS)-arm, and VAS-neck were evaluated. Serum creatine kinase levels and the size of the operating hole were measured.
Postoperative neck disability index, VAS-neck, and VAS-arm scores showed statistically significant improvement over preoperative scores ( P <0.01). The operating time was significantly shorter in the UBE-PCF group ( P <0.001). No significant differences were found in serum creatine kinase levels between the 2 groups ( P >0.05). The mean area of the operating hole was 1.47+0.05 cm 2 in the FPCF group and 1.79+0.11 cm 2 in the UBE-PCF group. The difference was statistically significant ( P <0.001).
Both UBE-PCF and FPCF are safe and effective procedures for cervical radiculopathy. Predictable and sufficient decompression could be achieved by UBE-PCF in a shorter operation time.
Treatment Benefits Level III.
回顾性对照研究。
比较单侧双通道内镜下颈椎后外侧孔切开术（UBE-PCF）与全内镜下颈椎后外侧孔切开术（FPCF）的疗效。
很少有研究直接比较 UBE-PCF 和 FPCF 的结果。本研究的目的是比较 UBE-PCF 和 FPCF 的结果。
对 2019 年 7 月至 2021 年 12 月的 69 例神经根型颈椎病患者进行回顾性对照研究。评估临床结果评分，包括颈椎残障指数（NDI）、视觉模拟量表（VAS）-手臂和 VAS-颈部；测量血清肌酸激酶水平和手术孔大小。
术后 NDI、VAS-颈部和 VAS-手臂评分均较术前显著改善（P<0.01）。UBE-PCF 组的手术时间明显缩短（P<0.001）。两组间血清肌酸激酶水平无显著差异（P>0.05）。FPCF 组手术孔的平均面积为 1.47±0.05cm2，UBE-PCF 组为 1.79±0.11cm2，差异有统计学意义（P<0.001）。
UBE-PCF 和 FPCF 都是治疗神经根型颈椎病安全有效的方法。UBE-PCF 可在更短的手术时间内实现可预测且充分的减压。
治疗效益等级 III。
