Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2004
[Treatment of cervical radiculopathy by laminoplasty and foraminotomy].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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An Chunhou, Liu Xueyong, Yuan Quan, Wang Haiyi, Cui Zhenduo
Аннотация
OBJECTIVE: To evaluate the results of laminoplasty and foraminotomy in treatment of cervical radiculopathy.
METHODS: Of 29 patients, there were 16 males and 13 females, aged 38 to 72 years with an average of 59 years. The reasons of intervertebral foramen stenosis were prolapse of intervertebral disc, osteophyte formation of Luschka joint, spinal canal stenosis combined with thickness of flavum ligmentum and facet joint hypertrophy. The most frequently affected intervertebral foramen were C5.6 and C6.7. The most significant symptoms after impairment of nerve root were reduced sensation, muscle weakness and diminished reflexes. On the basis of laminoplasty, the foraminotomy was performed on the stenotic foramen, including grade I decompression on 13 occasions, degree II on 21 occasions; and double level decompressions were performed on 5 patients.
RESULTS: After operation, reduced sensation was recovered most significantly and quickly, and the recovery of muscle weakness followed, while the recovery of diminished reflexes was the slowest and worst. In the followed-up patients, the percentage of excellent and good results was 97%.
CONCLUSION: In the cervical spondylotic patients who also have foraminar stenosis, performing laminoplasty with foraminotomy can get good results. If the indication are chosen properly, it can be used widely in clinic.
METHODS: Of 29 patients, there were 16 males and 13 females, aged 38 to 72 years with an average of 59 years. The reasons of intervertebral foramen stenosis were prolapse of intervertebral disc, osteophyte formation of Luschka joint, spinal canal stenosis combined with thickness of flavum ligmentum and facet joint hypertrophy. The most frequently affected intervertebral foramen were C5.6 and C6.7. The most significant symptoms after impairment of nerve root were reduced sensation, muscle weakness and diminished reflexes. On the basis of laminoplasty, the foraminotomy was performed on the stenotic foramen, including grade I decompression on 13 occasions, degree II on 21 occasions; and double level decompressions were performed on 5 patients.
RESULTS: After operation, reduced sensation was recovered most significantly and quickly, and the recovery of muscle weakness followed, while the recovery of diminished reflexes was the slowest and worst. In the followed-up patients, the percentage of excellent and good results was 97%.
CONCLUSION: In the cervical spondylotic patients who also have foraminar stenosis, performing laminoplasty with foraminotomy can get good results. If the indication are chosen properly, it can be used widely in clinic.