Leriche B, Desgeorges M, Boucetta M
Ann Med Interne (Paris). 1979;130(11):531-5.
Cervicobrachial neuralgia of discal origin can be improved by a simple operation: excision of the pathological disc followed by an intercorporeal arthrodesis by the anterior approach, using an implanted graft without the use of any osteosynthetic material. The authors performed 20 such operations, using this method as described by Cloward, with very encouraging results. The selection of patients suitable for surgery, however, depends on strict criteria: isolated definite discal pathology, usually post-traumatic, suspected clinically and confirmed by a standard radiograph and gas myelography; finally, conclusive proof of immobilisation. The simple nature of the operation, the rapidity with which it can be performed, the short period of hospitalization and professional care required, and the absence of sequelae, are several factors which suggest that this surgical procedure should become the standard therapy for cervicobrachial neuralgias, as it is for the surgical cure of lumbar disc hernias. The introduction of more precise and comfortable radiographic methods, such as the scanner and metrizamide myelography, will ensure that this functional type of surgery becomes more economical and responds to the individual needs of the patients.
切除病变椎间盘，然后经前路进行椎间关节融合术，使用植入移植物，不使用任何骨合成材料。作者按照克洛德所描述的方法进行了20例此类手术，结果非常令人鼓舞。然而，适合手术的患者选择取决于严格标准：孤立明确的椎间盘病变，通常为创伤后，临床怀疑并经标准X线片和气脑脊髓造影证实；最后，有明确的固定证据。手术的简单性、实施的快速性、所需的短住院时间和专业护理以及无后遗症，这些因素表明该手术方法应成为颈臂神经痛的标准治疗方法，就像它是腰椎间盘突出症手术治疗的标准方法一样。更精确和舒适的影像学方法的引入，如扫描仪和甲泛葡胺脊髓造影，将确保这种功能性手术变得更经济，并能满足患者的个体需求。
