How I do it: total uncinatectomy during anterior diskectomy and fusion for cervical radiculopathy caused by uncovertebral joint hypertrophy

被引：27

作者：

Clifton, William ^{[1
]}

Williams, David ^{[2
]}

Pichelmann, Mark ^{[1
]}

机构：

[1] Mayo Clin Florida, Dept Neurol Surg, 4500 San Pablo Rd, Jacksonville, FL 32224 USA

[2] Marine Corps Air Stn, Beaufort, SC USA

来源：

ACTA NEUROCHIRURGICA | 2019年 / 161卷 / 10期

关键词：

Cervical radiculopathy; Foraminal stenosis; Uncinatectomy; Uncinate process; ACDF; Diskectomy; Surgical video; SPINE;

D O I：

10.1007/s00701-019-04033-w

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

100204 [神经病学];

摘要：

Background Cervical radiculopathy from uncovertebral joint hypertrophy and foraminal stenosis is a common indication for anterior cervical diskectomy and fusion (ACDF). Often, the uncinate hypertrophy extends lateral to the foramen and impinges on the nerve close to the vertebral artery as it travels in between the transverse foramina. Method Using an injected cadaveric specimen to highlight the vital neurovascular and bony structures pertinent to this procedure, we demonstrate the technical details of complete uncinatectomy for cervical foraminal stenosis. Conclusion Total uncinatectomy is a useful adjunct during ACDF for complete foraminal decompression in cases of uncovertebral joint hypertrophy.

引用

页码：2229 / 2232

页数：4

共 8 条

[1]

Anatomical variations of the V2 segment of the vertebral artery [J].

Bruneau, Michael ;

Cornelius, Jan F. ;

Marneffe, Vincent ;

Triffaux, Michel ;

George, Bernard .

NEUROSURGERY, 2006, 59 (01) :20-24

[2]

Anterior cervical Discectomy and fusion associated complications [J].

Fountas, Kostas N. ;

Kapsalaki, Eftychia Z. ;

Nikolakakos, Leonidas G. ;

Smisson, Hugh F. ;

Johnston, Kim W. ;

Grigorian, Arthur A. ;

Lee, Gregory P. ;

Robinson, Joe S. .

SPINE, 2007, 32 (21) :2310-2317

[3]

Anatomy and clinical significance of the uncinate process and uncovertebral joint: A comprehensive review [J].

Hartman, Jeffrey .

CLINICAL ANATOMY, 2014, 27 (03) :431-440

[4]

Anterior cervical plating enhances arthrodesis after discectomy and fusion with cortical allograft [J].

Kaiser, MG ;

Haid, RW ;

Subach, BR ;

Barnes, B ;

Rodts, GE .

NEUROSURGERY, 2002, 50 (02) :229-236

[5]

Cervical radiculopathy [J].

Rhee, John M. ;

Yoon, Tim ;

Riew, K. Daniel .

JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS, 2007, 15 (08) :486-494

[6]

Anterior Cervical Foraminotomy: 2-Dimensional Operative Video [J].

Smith, Zachary A. .

OPERATIVE NEUROSURGERY, 2018, 15 (05) :E66-E66

[7]

Cervical Spine Deformity-Part 1: Biomechanics, Radiographic Parameters, and Classification [J].

Tan, Lee A. ;

Riew, K. Daniel ;

Traynelis, Vincent C. .

NEUROSURGERY, 2017, 81 (02) :197-203

[8]

Analysis of the uncinate processes of the cervical spine: an anatomical study Laboratory investigation [J].

Tubbs, R. Shane ;

Rompala, Olivia J. ;

Verma, Ketan ;

Mortazavi, Martin M. ;

Benninger, Brion ;

Loukas, Marios ;

Chambers, M. Rene .

JOURNAL OF NEUROSURGERY-SPINE, 2012, 16 (04) :402-407

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