前路椎间盘切除术不融合治疗神经根型颈椎病和脊髓型颈椎病的结果。

Results of anterior discectomy without fusion for treatment of cervical radiculopathy and myelopathy.

作者信息

Tegos S, Rizos K, Papathanasiu A, Kyriakopulos K

机构信息

Department of Neurosurgery, Army Veterans Administration Hospital (NIMTS), Athens, Greece.

出版信息

Eur Spine J. 1994;3(2):62-5. doi: 10.1007/BF02221441.

DOI:10.1007/BF02221441

PMID:7874551

Abstract

In this retrospective study 180 patients were submitted to anterior discectomy without fusion for cervical radiculopathy and myelopathy. Ninety-five patients presented with single-level discopathy, the main symptom being radiculopathy in this group. Eighty-five patients presented with multiple-level discopathy, the main symptom being myelopathy instead of radiculopathy. No serious complications were observed in either group. In the single-level discopathy group the improvement of the radiculopathy was 94.7% and of the myelopathy, 87.5%, whereas in the multiple-level discopathy group the improvement of the myelopathy was 57.1% and of the radiculopathy, 66.6%. It is concluded that anterior cervical discectomy without interbody fusion is a safe and effective surgical method for the treatment of radiculopathy and less so for myelopathy.

摘要

在这项回顾性研究中，180例因颈椎病神经根型和脊髓型疾病接受了前路椎间盘切除术但未进行融合术。95例患者为单节段椎间盘病变，该组主要症状为神经根型症状。85例患者为多节段椎间盘病变，主要症状为脊髓型症状而非神经根型症状。两组均未观察到严重并发症。在单节段椎间盘病变组中，神经根型症状改善率为94.7%，脊髓型症状改善率为87.5%；而在多节段椎间盘病变组中，脊髓型症状改善率为57.1%，神经根型症状改善率为66.6%。结论是，前路颈椎间盘切除不进行椎间融合术是治疗神经根型颈椎病的一种安全有效的手术方法，而对脊髓型颈椎病的治疗效果相对较差。