Posterior cervical spine surgery for radiculopathy

被引:33
作者
Riew, K. Daniel
Cheng, Ivan
Pimenta, Luiz
Taylor, Brett
机构
[1] Washington Univ, Sch Med, Barnes Jewish Hosp, Dept Orthopaed Surg, St Louis, MO 63110 USA
[2] Santa Rita Hosp, Sao Paulo, Brazil
[3] Orthoped Ctr St Louis, Chesterfield, MO USA
关键词
cervical spondylosis; dorsal decompression; foraminotomy; radiculopathy;
D O I
10.1227/01.NEU.0000215409.64026.E2
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
IT IS NOW common knowledge that cervical radiculopathy, frequently caused by disc herniation and/or degeneration, will often improve without surgical intervention. Only a small percentage of patients with the severity of symptoms necessitate surgical treatment. Surgery for radiculopathy is indicated for motor weakness, progressive neurological deficits, and progressive symptoms that do not improve with nonoperative treatment. Advantages and disadvantages exist for both ventral and dorsal approaches in the surgical treatment of cervical radiculopathy. Indications and results for dorsal nerve root decompression are discussed, and a review of our preferred techniques, including use of minimally invasive technology, is presented.
引用
收藏
页码:57 / 63
页数:7
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