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Posterior Percutaneous Transpedicular Endoscopic Approach for Treating Single-Segment Cervical Myelopathy
المؤلفون المشاركون
Chu, Lei
Yu, Ke-Xiao
Lu, Wei-Zhong
Xiao, Chang-Ming
Deng, Rui
Chen, Liang
Deng, Zhong-Liang
المصدر
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-10، 10ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-10-23
دولة النشر
مصر
عدد الصفحات
10
التخصصات الرئيسية
الملخص EN
Background.
Standard posterior percutaneous endoscopic cervical discectomy (PECD) is considered an effective minimally invasive surgery.
Although standard PECD can be used to treat radiculopathy with relatively minimal trauma, it is still a challenge to use this approach for treating myelopathy.
Objective.
This report is aimed at first describing a posterior transpedicular approach under endoscopy for myelopathy and evaluating the feasibility and short-term clinical effects of this approach.
Methods.
In our retrospective analysis between Feb.
2016 to Mar.
2017, 16 patients managed with PECD using the posterior transpedicular approach for symptomatic single-segment myelopathy.
Surgery involved drilling 1/2 to 2/3 of the medial portion of the pedicle under endoscopy to provide sufficient space and an appropriate angle for inserting the endoscope into the spinal canal, followed by ventral decompression of the spinal cord.
Computed tomography and magnetic resonance imaging were used to evaluate pedicle healing and spinal cord decompression.
The primary outcomes included a visual analog scale (VAS) scores of axial neck pain and Japanese Orthopaedic Association (JOA) scores of neurological conditions.
Results.
All patients completed a 1-year follow-up examination.
The mean duration of surgery was 95.44±19.44 min (52–130 min).
The fluoroscopy duration was 5.88±1.05 (4–7).
The VAS scores of axial pain significantly improved from 6.94±0.75 preoperatively to 2.88±1.22 postoperatively (P<0.05).
The mean JOA scores improved from 8.50±1.12 preoperatively to 14.50±1.46 at the final follow-up (P<0.05).
The effects were excellent in 8 cases, good in 6 cases, and fair in 2 cases.
After partial pedicle excision, the width of the remaining pedicle was 1.70±0.22 mm postoperatively and significantly recovered to 3.38±0.49 mm at the 1-year follow-up.
There were no surgery-related complications, such as dural tearing, spinal cord injury, nerve root injury, pedicle fracture, and cervical hematocele or infection.
Conclusions.
The posterior transpedicular approach is an effective method for the treatment of myelopathy in select patients and is a supplement to the described surgical approach for PECD.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Yu, Ke-Xiao& Lu, Wei-Zhong& Xiao, Chang-Ming& Chu, Lei& Deng, Rui& Chen, Liang…[et al.]. 2020. Posterior Percutaneous Transpedicular Endoscopic Approach for Treating Single-Segment Cervical Myelopathy. BioMed Research International،Vol. 2020, no. 2020, pp.1-10.
https://search.emarefa.net/detail/BIM-1131729
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Yu, Ke-Xiao…[et al.]. Posterior Percutaneous Transpedicular Endoscopic Approach for Treating Single-Segment Cervical Myelopathy. BioMed Research International No. 2020 (2020), pp.1-10.
https://search.emarefa.net/detail/BIM-1131729
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Yu, Ke-Xiao& Lu, Wei-Zhong& Xiao, Chang-Ming& Chu, Lei& Deng, Rui& Chen, Liang…[et al.]. Posterior Percutaneous Transpedicular Endoscopic Approach for Treating Single-Segment Cervical Myelopathy. BioMed Research International. 2020. Vol. 2020, no. 2020, pp.1-10.
https://search.emarefa.net/detail/BIM-1131729
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1131729
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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