神经根型颈椎病后路大通道内镜椎板开窗减压

Posterior large-channel endoscopic laminectomy and decompression for cervical spondylosis radiculopathy

摘要:

摘要：[目的]：探讨后路经皮大通道内镜椎板开窗减压治疗神经根型颈椎病的临床疗效。[方法]：2021年1月—2022年12月，对32例神经根型颈椎病患者采用后路经皮大通道内镜椎板开窗减压治疗，评价临床和影像资料。[结果]：32患者均顺利完成手术，无严重并发症。手术时间平均（39.3±5.8min）,出血量平均（15.6±5.4）ml。随访时间平均(16.4±3.5）个月 ，随时间推移，颈肩痛VAS评分、上肢痛VAS评分和NDI评分均显著降低（P＜0. 05），JOA评分显著增加（P＜0. 05）。影像方面，与术前相比，术后3d及末次随访时，责任节段椎管面积显著增加（P＜0. 05），椎间隙高度和颈椎前凸角略有增加，但差异无统计学意义（P ＞0.05）。[结论]：后路经皮大通道内镜椎板开窗减压治疗神经根型颈椎病是一种安全、有效的手术方法。

Abstract:

Abstract:[Objective]: To investigate the clinical efficacy of posterior percutaneous large-channel endoscopic laminectomy and decompression in the treatment of cervical spondylotic radiculopathy.[Methods]: From January 2021 to December 2022, 32 patients with cervical spondylosis radiculopathy were treated with posterior percutaneous large-channel endoscopic laminectomy and decompression, and clinical and imaging data were evaluated..Results: All patients successfully completed the surgery without serious complications. The mean operation time was (39.3±5.8min),and the mean bleeding volume was (15.6±5.4) ml.The mean follow-up time was (16.4±3.5) months , and the neck and shoulder VAS score, upper extremity pain VAS score, and NDI score were significantly decreased (p<0. 05) and the JOA score was significantly increased (p<0. 05) with the passage of time. In terms of imaging, compared with the preoperative period, the area of the spinal canal in the responsible segment was significantly increased at 3d postoperatively and at the final follow-up (P < 0. 05), and there was no significant change in the height of the intervertebral space and the anterior cervical convexity angle (P ＞ 0. 05) .[Conclusion]:Posterior percutaneous large-channel endoscopic laminectomy and decompression for the treatment of cervical spondylotic radiculopathy is a safe and effective surgical method.