Journal of Korean Neurosurgical Society

  • 제56권3호
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  • Pages.224-229
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  • 2014
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Long-Term Clinical and Radiologic Outcomes of Minimally Invasive Posterior Cervical Foraminotomy

  • Kwon, Young-Joon (Department of Neurosurgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine)
  • 투고 : 2014.07.06
  • 심사 : 2014.09.06
  • 발행 : 2014.09.28
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초록

Objective : To report long-term clinical and radiological outcomes of minimally invasive posterior cervical foraminotomy (MI-PCF) performed in patients with unilateral single-level cervical radiculopathy. Methods : Of forty-six patients who underwent MI-PCF for unilateral single-level radiculopathy between 2005 and 2013, 33 patients were included in the study, with a mean follow-up of 32.7 months. Patients were regularly followed for clinical and radiological assessment. Clinical outcome was measured by visual analogue scale (VAS) for the neck/shoulder and arm, and the neck disability index (NDI). Radiological outcome was measured by focal/global angulation and disc height index (DHI). Outcomes after MI-PCF were evaluated as changes of clinical and radiological parameters from the baseline. Mixed effect model with random patients' effect was used to test for differences in the clinical and radiological parameters repeat measures. Results : There were no complications and all patients had an uneventful recovery during the early postoperative period. VAS scores for neck/shoulder and arm improved significantly in the early postoperative period (3 months) and were maintained with time (p<0.001). NDI improved significantly post-operatively and tended to decrease gradually during the follow-up period (p<0.001). There were no statistically significant changes in focal and global angulation at follow-up. Percent DHIs of the upper adjacent or operated disc were maintained without significant changes with time. During the follow-up, same site recurrence was not noted and adjacent segment disease requiring additional surgery occurred in two patients (6%) on the contra-lateral side. Conclusion : MI-PCF provides long-term pain relief and functional restoration, accompanied by good long-term radiological outcome.

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참고문헌

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피인용 문헌

  1. Long-Term Outcome of Posterior Cervical Inclinatory Foraminotomy vol.59, pp.4, 2014, https://doi.org/10.3340/jkns.2016.59.4.374
  2. Microsurgery or open cervical foraminotomy for cervical radiculopathy? A systematic review vol.40, pp.6, 2014, https://doi.org/10.1007/s00264-016-3193-4
  3. Comparison of Anterior Cervical Discectomy and Fusion versus Posterior Cervical Foraminotomy in the Treatment of Cervical Radiculopathy: A Systematic Review vol.8, pp.4, 2016, https://doi.org/10.1111/os.12285
  4. Minimally invasive posterior cervical foraminotomy for treatment of radiculopathy : An effective, time-tested, and cost-efficient motion-preservation technique vol.30, pp.1, 2018, https://doi.org/10.1007/s00064-017-0516-6
  5. Surgical Treatment of Cervical Radiculopathy: Meta-analysis of Randomized Controlled Trials vol.43, pp.6, 2018, https://doi.org/10.1097/brs.0000000000002324
  6. Clinical and Radiological Outcomes of Day-care Posterior Foraminotomy and Decompression of the Cervical Spine vol.13, pp.4, 2018, https://doi.org/10.4103/ajns.ajns_14_17
  7. Minimally Invasive Posterior Cervical Foraminotomy as an Alternative to Anterior Cervical Discectomy and Fusion for Unilateral Cervical Radiculopathy : A Systematic Review and Meta-analysis vol.44, pp.24, 2019, https://doi.org/10.1097/brs.0000000000003156
  8. Anterior Discectomy and Fusion versus Posterior Foraminotomy in Treatment of Cervical Radiculopathy: A Comparative Prospective Study vol.9, pp.4, 2014, https://doi.org/10.4236/ojmn.2019.94042
  9. Overview of Minimally Invasive Spine Surgery vol.142, pp.None, 2014, https://doi.org/10.1016/j.wneu.2020.06.043
  10. Minimally invasive cervical laminoforaminotomy - Technique and outcomes vol.12, pp.4, 2014, https://doi.org/10.4103/jcvjs.jcvjs_137_21
  11. Posterior endoscopic cervical foramiotomy and discectomy: clinical and radiological computer tomography evaluation on the bony effect of decompression with 2 years follow-up vol.30, pp.2, 2014, https://doi.org/10.1007/s00586-020-06637-8