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논문 기본 정보

자료유형
학술저널
저자정보
Maduri Rodolfo (Clinique de Genolier Swiss Medical Network Genolier Switzerland) Cossu Giulia (Centre Hospitalier Universitaire Vaudois Lausanne Switzerland) Aureli Viviana (Centre Hospitalier Universitaire Vaudois Lausanne Switzerland) Wüthrich Sonia Plaza (Centre Leenaards de la Memoire Centre Hospitalier Universitaire Vaudois) Bobinski Lukas (Department of Orthopedics University Hospital of Umeå Umeå Sweden) Duf John Michael (Clinique de Genolier Swiss Medical Network Genolier Switzerland)
저널정보
대한척추외과학회 Asian Spine Journal Asian Spine Journal Vol.15 No.5
발행연도
2021.10
수록면
673 - 681 (9page)
DOI
10.31616/asj.2020.0323

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Study Design: This was a retrospective review of patients with compressive cervical radiculopathy treated with a minimally invasive anterior cervical foraminotomy (ACF). Purpose: This study aimed to evaluate the results and complication rates of ACF in a consecutive series of patients and to report our clinical results of ACF as a minimally invasive technique in a series of 45 consecutive patients treated for compressive cervical radiculopathy. Overview of Literature: ACF is a motion-sparing procedure and an alternative to anterior cervical discectomy and fusion (ACDF) and posterior cervical foraminotomy for direct nerve root decompression in patients with compressive cervical radiculopathy. Methods: The chart review recorded clinical and radiological features preoperatively and postoperatively and at follow-up (FU). The effect of prognostic factors was analyzed in relation to the clinical outcome. Results: Between January 2004 and October 2019, 45 patients (15 females and 30 males) with a mean age of 55.9 years (range, 28?78 years) underwent ACF for unilateral cervical radiculopathy. The global clinical outcome according to the MacNab scale was evaluated as excellent in 64.5% of patients (n=29), good in 28.9% (n=13), fair in 4.4% (n=2), and poor in 2.2% (n=1). The radiological FU was available for 73.3% (n=33). The statistical analysis revealed no influence of age, sex, operated level, and side on the clinical outcome. Only one patient (2.2%) exhibited spontaneous bone fusion at the operated level on FU after a right-sided C6?7 ACF with no clinical consequences. No patient presented with signs of delayed segmental instability. The overall reoperation rate of this series was 4.4%. Conclusions: ACF is a feasible and low-cost alternative to ACDF in selected patients with cervical radiculopathy. The use of tubular retractors in ACF may confer an added advantage that creates a safe corridor for direct cervical root decompression yet minimizing surrounding soft tissue retraction and avoiding unnecessary bone removal.
#Diskectomy #Radiculopathy #Herniated discs #Spondylosis #Cervical vertebrae

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참고문헌 (30)

참고문헌 신청
Nguyen J / 2017 / Changes in foraminal area with anterior decompression versus keyhole foraminotomy in the cervical spine : a biomechanical investigation / J Neurosurg Spine 27:620~626 google schola Zou S / 2017 / Anterior cervical discectomy and fusion(ACDF)versus cervical disc arthroplasty(CDA)for two contiguous levels cervical disc degenerative disease : a metaanalysis of randomized controlled trials / Eur Spine J 26:985~997 google schola Wang QL / 2020 / Long-term results comparing cervical disc arthroplasty to anterior cervical discectomy and fusion : a systematic review and meta-analysis of randomized controlled trials / Orthop Surg 12:16~30 google schola Jho HD / 1996 / Microsurgical anterior cervical foraminotomy for radiculopathy : a new approach to cervical disc herniation / J Neurosurg 84:155~160 google schola Jho HD / 2002 / Anterior microforaminotomy for treatment of cervical radiculopathy : part 1 : disc-preserving"functional cervical disc surgery" / Neurosurgery 51:S46~53 google schola

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