Clinical analysis of APECD and ODLP in the treatment of multisegmental cervical stenosis and giant disc herniation
10.11958/20170077
- VernacularTitle:颈前路内镜联合后路单开门治疗多节段椎管狭窄伴巨大椎间盘突出的临床分析
- Author:
Ning LI
;
Baoshan XU
;
Yue LIU
;
Qiang YANG
;
Hongfeng JIANG
;
Ning JI
;
Chunhong ZHANG
;
Tao YANG
- Keywords:
cervical vertebrae;
spinal stenosis;
cervical spondylosis;
surgical procedures,minimally invasive;
intervertebral disk;
endoscope;
laminoplasty
- From:
Tianjin Medical Journal
2017;45(2):125-128
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of anterior percutaneous endoscopic discectomy (APECD) and open-door laminoplasty (ODLP) through hybrid surgery in the treatment of multisegmental cervical stenosis and giant disc herniation. Methods This study involved 3 patients with multisegmental cervical stenosis and giant disc herniation confirmed by MRI. Among them, there were 2 males and 1 female, with ages from 56-61. All patients showed significant paresthesia or weakness, and were treated between September and November 2016. The surgery was performed by first the ODLP that made spinal cord back shift, and then APECD for the second step. The visual analog scale (VAS) and neck disability index (NDI) were assessed before and after operation. Results The VAS and NDI scores were improved two weeks after operation. No adverse events like spinal cord injury and vascular injury were found during the operation. After operation, no patients were found incision infection, hematoma formation, cerebrospinal fluid leakage, dysphagia, trachyphonia and so on. Conclusion The hybrid surgery of APECD and ODLP for the treatment of the multisegmental cervical stenosis and giant disc herniation can not only decompress the nerve safely and improve the function, but also preserve cervical intervertebral disc and motion segments, therefore delaying the degeneration of adjacent segments with clinical significance.
