Cervical spondylotic radiculopathy involving two adjacent nerve roots - Anterior decompression through a single level intervertebral approach

被引:14
作者
Iwasaki, M [1 ]
Okada, K [1 ]
Tsumaki, N [1 ]
Obata, H [1 ]
Shirasaki, N [1 ]
Oka, S [1 ]
机构
[1] OSAKA UNIV,SCH MED,DEPT ORTHOPAED SURG,OSAKA,JAPAN
关键词
D O I
10.1007/s002640050050
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
We describe a single level intervertebral approach to decompress two adjacent involved nerve roots in cases of cervical spondylosis. The operation wets undertaken in 4 patients. We carried out discectomy, partial excision of the vertebral body with removal of the anteromedial part of the pedicles, removal of osteophytes and excision of the posterior longitudinal ligament, followed by an anterior interbody fusion. Fusion was achieved with the spine in normal lordosis and without complications. Pain and motor weakness was relieved in every case. This procedure can maintain movement at one additional disc level and has a better fusion rate than multilevel interbody fusion.
引用
收藏
页码:137 / 141
页数:5
相关论文
共 15 条
[1]   POSTEROLATERAL MICRODISCECTOMY FOR CERVICAL MONORADICULOPATHY CAUSED BY POSTEROLATERAL SOFT CERVICAL DISK SEQUESTRATION [J].
ALDRICH, F .
JOURNAL OF NEUROSURGERY, 1990, 72 (03) :370-377
[2]   STABILIZATION OF THE CERVICAL SPINE BY ANTERIOR FUSION [J].
BAILEY, RW ;
BADGLEY, CE .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1960, 42 (04) :565-594
[3]  
CRANDALL P H, 1977, Spine, V2, P139, DOI 10.1097/00007632-197706000-00006
[4]   A COMPARISON OF ANTERIOR CERVICAL FUSION, CERVICAL LAMINECTOMY, AND CERVICAL LAMINOPLASTY FOR THE SURGICAL-MANAGEMENT OF MULTIPLE LEVEL SPONDYLOTIC RADICULOPATHY [J].
HERKOWITZ, HN .
SPINE, 1988, 13 (07) :774-780
[5]   Expansive laminoplasty for cervical radiculomyelopathy due to soft disc herniation - A comparative study of laminoplasty and anterior arthrodesis [J].
Iwasaki, M ;
Ebara, S ;
Miyamoto, S ;
Wada, E ;
Yonenobu, K .
SPINE, 1996, 21 (01) :32-38
[6]  
Kokubun S., 1984, RINSHO SEIKEIGEKA, V19, P417
[7]  
MCQUEEN JD, 1989, CERVICAL SPINE, P199
[8]   CERVICAL RADICULOPATHY ASSOCIATED WITH AN ANOMALY OF THE CERVICAL-VERTEBRAE - SUCCESSFUL SURGICAL-TREATMENT - A CASE-REPORT [J].
OKADA, K ;
HAYASHI, M ;
NITTA, M ;
OWADA, T ;
HAYASHI, H .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1988, 70A (09) :1399-1401
[9]   RESULTS OF ANTERIOR INTERBODY FUSION OF CERVICAL SPINE - REVIEW OF 93 CONSECUTIVE CASES [J].
RILEY, LH ;
ROBINSON, RA ;
JOHNSON, KA ;
WALKER, AE .
JOURNAL OF NEUROSURGERY, 1969, 30 (02) :127-&
[10]   THE RESULTS OF ANTERIOR INTERBODY FUSION OF THE CERVICAL SPINE [J].
ROBINSON, RA ;
WALKER, AE ;
FERLIC, DC ;
WIECKING, DK .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1962, 44 (08) :1569-1587