Journal of Korean Neurosurgical Society
- 제30권7호
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- Pages.870-875
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- 2001
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- 2005-3711(pISSN)
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- 1598-7876(eISSN)
경추 신경근병증에 대한 전방 터널링 수술 : 초기 32례에 대한 보고
Anterior Tunnelling Operation for Cervical Radiculopathy : A Report of First 32 Cases
- CHo, Tae-Hyun (Department of Neurosurgery, College of Medicine, Ewha Women's University) ;
- Song, Jun-Hyeok (Department of Neurosurgery, College of Medicine, Ewha Women's University) ;
- Suh, Jung-Keun (Department of Neurosurgery, College of Medicine, Korea University)
- 투고 : 2001.01.12
- 심사 : 2001.05.07
- 발행 : 2001.07.28
초록
Objectives : Anterior tunnelling technique consist of anterior cervical fractional interspace decompression without fusion. This method provides sufficient space for adequate neuroforaminal decompression but avoids the need for fusion or fixation. We report early clinical results of 32 cases that underwent anterior tunnelling operation for treatment of cervical radiculopathy. Methods : This method is identical to conventional approach until the exposure of anterior cervical body and bilateral retraction of longus colli is made. A vertical window is then made at the vertebral bodies and disc space lateral to the insertion site of the longus colli. The window is deepened with drilling that follows a tunnelling fashion down to the compressive lesion. We analyzed clinical results from 32 patients who treated between December 1998 and August 2000. Results : Satisfactory results were obtained in 87% of the patients. Two patients required revision surgery. None revealed surgical spinal instability on last follow-up. Conclusion : Anterior tunnelling operation is an acceptable surgical option for the treatment of cervical radiculopathy. Its advantages are short hospitalization, minimal postoperative discomfort, and technical feasibility.