Laminoplasty with foraminotomy for coexisting cervical myelopathy and unilateral radiculopathy - A preliminary report
Laminoplasty with foraminotomy for coexisting cervical myelopathy and unilateral radiculopathy - A preliminary report
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DOI：
10.1097/00007632-199601150-00007
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发表时间：
1996-01-15
期刊：
影响因子：
3
通讯作者：
Tomita, K
中科院分区：
文献类型：
--
作者：
Baba, H;Chen, QX;Tomita, K
研究设计：评估椎板成形术和椎间孔切开术联合治疗脊髓病和单侧神经根病患者的疗效。17例患者接受了该手术。对患者进行了侧屈和伸展X线片、计算机断层扫描和专门设计用于定性评估患者神经功能状态的评估系统。平均随访4年（范围，2.1-9.3年）。背景数据摘要，76%（13/17）的患者获得了良好的结果，根据X线片没有任何明显的功能损害。16个神经根减压小于25%的椎间孔切开术，而8个减压25%-50%椎间孔切开术没有严重的神经损伤，除了一个病人。神经学结果似乎与椎间孔切开术的程度无关。方法。回顾性分析了一种改良的椎板成形术和椎间孔切开术的神经功能结局和影像学数据。目前的系列是小的，结果不能直接与其他方法进行比较。该手术对脊髓病和神经根病有效。该手术适用于脊髓病合并神经根前外侧或神经孔内撞击的患者。椎板成形术和椎间孔切开术的联合手术可以为同时存在脊髓病和单侧神经根病的患者提供更大的神经功能改善，同时保持术后颈椎稳定性。
Study Design, An assessment was made of the efficacy of a combined laminoplasty and foraminotomy operation for patients with coexisting myelopathy and unilateral radiculopathy. The procedure was done in 17 patients.Objectives. The patients were followed with lateral flexion and extension radiographs, computed tomography scans, and an assessment system specially designed to qualitatively evaluate the patients' neurologic status. Follow-up period averaged 4 years (range, 2.1-9.3 years).Summary of Background Date, Excellent-to-good results were obtained for 76% (13 of 17) of the patients without any significant functional compromise based on the radiographs. Sixteen nerve roots were decompressed with a less than 25% foraminotomy, whereas eight were decompressed by a 25%-50% foraminotomy without serious neurologic damage, except for one patient. The neurologic results appeared unrelated to the extent of foraminotomy.Methods. A refined procedure for combined laminoplasty and foraminotomy was reviewed retrospectively in terms of neurologic outcome and radiographic data.Results. The present series is small, and results are not comparable directly with other methods. The procedure appears effective for myelopathy and radiculopathy. This procedure is applicable to patients with myelopathy and coexisting nerve root impingement anterolaterally or in the neural foramen.Conclusion. The combined laminoplasty and foraminotomy operation may provide greater neurologic improvement in patients with coexisting myelopathy and unilateral radiculopathy, while maintaining cervical spine stability after surgery.