Grob D
Abteilung für Wirbelsäulen- und Rückenmarkschirurgie, Schulthess Klinik, Zürich.
Orthopade. 1996 Nov;25(6):554-7.
Radicular pain is a common feature in day-to-day clinical practice. Only a small percentage of patients with persistent pain and/ or neurological deficit need surgical decompression. Exact anatomical localization of the decompressive agent and the correlation of clinical symptoms and radiological findings are mandatory. In most cases, surgery is performed by an anterior approach; by which the causative agent is removed. In cases with narrowing of the neural foramen total resection of the uncus is indicated. Additional fusion supports the physiological cervical lordosis.
根性疼痛是日常临床实践中的常见症状。只有一小部分持续性疼痛和/或神经功能缺损的患者需要手术减压。减压因素的确切解剖定位以及临床症状与影像学表现的相关性是必不可少的。在大多数情况下,手术通过前路进行,切除致病因素。在神经孔狭窄的病例中,需要对钩突进行全切除。额外的融合术有助于维持颈椎的生理前凸。