지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 129 - 134 (6page)
이용수
초록· 키워드
오류제보하기
Surgical decompression for cervical radiculopathy includes anterior cervical discectomyand fusion, anterior or posterior cervical foraminotomy, and cervical arthroplastyafter decompression. The aim of this study was to evaluate the usefulness of aCO2 laser in posterior-approach surgery for unilateral cervical radiculopathy. FromJanuary 2006 to December 2008, 12 consecutive patients with unilateral cervical radiculopathyfrom either foraminal stenosis or disc herniation, which was confirmed withimaging studies, underwent posterior foraminotomy and discectomy with the use ofa microscope and CO2 laser. For annulotomy and discectomy, we used about 300 joulesof CO2 laser energy. Magnetic resonance imaging (MRI) was used to evaluate the extentof disc removal or foraminal decompression. Clinical outcome was evaluated by usingvisual analogue scale scores for radicular pain and Odom’s criteria. For evaluation ofspinal stability, cervical flexion and extension radiographs were obtained. Single-levelforaminotomy was performed in 10 patients and two-level foraminotomies were performedin 2 patients. Preoperative radicular symptoms were improved immediatelyafter surgery in all patients. No surgery-related complications developed in our cases. Postoperative MRI demonstrated effective decompression of ventral lesions and widenedforaminal spaces in all cases. There was no development of cervical instabilityduring the follow-up period. Posterior foraminotomy and discectomy using a microscopeand CO2 laser is an effective surgical tool for unilateral cervical radiculopathycaused by lateral or foraminal disc herniations or spondylotic stenosis. Long-term follow-up with radiographs showed no significant kyphotic changes or spinal instability.
목차
등록된 정보가 없습니다.
참고문헌 (29)
참고문헌 신청
Jagannathan J. / 2009 / The posterior cervical foraminotomy in the treatment of cervical disc/osteophyte disease : a single-surgeon experience with a minimum of 5 years’ clinical and radiographic follow-up / J Neurosurg Spine 10:347~356
Hilibrand AS. / 1997 / The success of anterior cervical arthrodesis adjacent to a previous fusion / Spine(Phila Pa 1976) 22:1574~1579
Hilton DL Jr / 2007 / Minimally invasive tubular access for posterior cervical foraminotomy with three-dimensional microscopic visualization and localization with anterior/posterior imaging / Spine J 7:154~158
Aldrich F / 1990 / Posterolateral microdisectomy for cervical monoradiculopathy caused by posterolateral soft cervical disc sequestration / J Neurosurg 72:370~377
Cağlar YS. / 2007 / Keyhole approach for posterior cervical discectomy : experience on 84 patients / Minim Invasive Neurosurg 50:7~11
Hilibrand AS. / 1997 / The success of anterior cervical arthrodesis adjacent to a previous fusion / Spine(Phila Pa 1976) 22:1574~1579
Hilton DL Jr / 2007 / Minimally invasive tubular access for posterior cervical foraminotomy with three-dimensional microscopic visualization and localization with anterior/posterior imaging / Spine J 7:154~158
Aldrich F / 1990 / Posterolateral microdisectomy for cervical monoradiculopathy caused by posterolateral soft cervical disc sequestration / J Neurosurg 72:370~377
Cağlar YS. / 2007 / Keyhole approach for posterior cervical discectomy : experience on 84 patients / Minim Invasive Neurosurg 50:7~11
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