Treatment of cervical spondylotic radiculopathy with spinal nerve root decompression under microscope and percutaneous tubular retractor system
10.3760/cma.j.cn115354-20230111-00018
- VernacularTitle:经皮通道下脊神经根显微减压术治疗神经根型颈椎病的临床研究
- Author:
Liangfeng WEI
1
;
Yehuang CHEN
;
Liang XUE
;
Jianwu WU
;
Shousen WANG
;
Zhaocong ZHENG
Author Information
1. 解放军联勤保障部队第九〇〇医院神经外科，福州 350025
- Keywords:
Cervical spondylosis;
Pain;
Nerve root;
Microsurgery;
Sagittal balance
- From:
Chinese Journal of Neuromedicine
2023;22(4):382-387
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the efficacy of posterior cervical spinal nerve root decompression under microscope and percutaneous tubular retractor system in cervical spondylotic radiculopathy (CSR).Methods:A total of 38 patients with CSR, admitted to Department of Neurosurgery, 900 th Hospital of PLA Joint Logistics Team from September 2019 to October 2022 were enrolled consecutively. These patients failed in strict conservative treatment and then changed to posterior cervical spinal nerve root decompression under microscope and percutaneous tubular retractor system. The patients were followed up for (15.71±7.50) months, ranging from 3 to 36 months. The pain visual analogue scale (VAS) and Japanese Orthopedic Association (JOA) scores were recorded and the results of X-ray, CT and MRI of cervical spines were analyzed 1 d before decompression, before discharge and at the last follow-up. C 2-7 sagittal vertical axis (SVA) was measured and compared on CT reconstruction images before decompression and at the last follow-up. The clinical efficacy of these patients was determined according to the formula of improvement rate=([JOA at the last follow-up-preoperative JOA]/[17-preoperative JOA])×100%: 100% improvement rate was defined as cure, improvement rate>60% as significant effect, 25%
