Nanoori Gangnam Hospital, Spine Surgery, Seoul, South Korea.
Achieve Spine and Orthopaedic Centre, Mount Elizabeth Hospital, Singapore, Singapore.
World Neurosurg. 2024 Jan;181:148-153. doi: 10.1016/j.wneu.2023.10.021. Epub 2023 Oct 31.
Cervical radiculopathy is a common and disabling cervical condition characterized by symptoms including axial neck pain, radicular pain, weakness, and numbness in one or both arms. Common causes include herniated discs and foraminal stenosis, often accompanied by varying degrees of degenerative disc disease and uncovertebral joint hypertrophy. In the treatment of cervical radiculopathy, there is an increasing preference for posterior foraminotomy over anterior cervical discectomy and fusion due to the avoidance of fusion-related complications. As endoscopic spine surgery techniques continue to evolve, there is a rising interest in posterior endoscopic cervical foraminotomy and posterior endoscopic cervical discectomy as effective treatments for cervical radiculopathy. Because these procedures can performed through a single subcentimeter incision with minimal soft tissue damage, they can often be carried out as ambulatory procedures. In this narrative review, we examined current literature addressing the indications, surgical techniques, outcomes, and potential complications associated with posterior cervical endoscopic approaches.
颈椎神经根病是一种常见且使人丧失能力的颈椎疾病,其症状包括颈痛、神经根痛、手臂无力和麻木。常见的病因包括椎间盘突出和椎间孔狭窄,常伴有不同程度的退行性椎间盘疾病和钩椎关节肥大。在颈椎神经根病的治疗中,由于避免了融合相关的并发症,后路椎间孔切开术比前路颈椎间盘切除术和融合术越来越受到青睐。随着内镜脊柱手术技术的不断发展,后路内镜颈椎椎间孔切开术和后路内镜颈椎间盘切除术作为治疗颈椎神经根病的有效方法越来越受到关注。由于这些手术可以通过一个单一的亚厘米切口进行,对软组织的损伤最小,因此通常可以作为日间手术进行。在这篇叙述性综述中,我们研究了目前关于后路颈椎内镜入路的适应证、手术技术、结果和潜在并发症的文献。