首页> 外文期刊>International journal of applied mechanics >Total Anterior Uncinatectomy During Anterior Discectomy and Fusion for Recurrent Cervical Radiculopathy: A Two-dimensional Operative Video and Technical Report
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Total Anterior Uncinatectomy During Anterior Discectomy and Fusion for Recurrent Cervical Radiculopathy: A Two-dimensional Operative Video and Technical Report

机译:前椎间切除术期间的前梗塞总非单调术治疗复发性宫颈放射疗法:二维手术和技术报告

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摘要

A common cause of cervical radiculopathy from degenerative foramina/ stenosis is severe uncovertebral hypertrophy. It is difficult to accomplish complete foramina] decompression in these cases with posterior techniques without the removal of a large portion of the facet joint. Total removal of the uncovertebral joint from an anterior approach allows for complete decompression of the exiting cervical nerve root and has been shown to be a safe technique. In this surgical video and technical report, we demonstrate the surgical anatomy and operative technique of a two-level anterior uncinatectomy during anterior discectomy and fusion (ACDF) for recurrent cervical radiculopathy after a previous multi-level posterior foraminotomy. The patient is a 67-year-old male with a progressive left arm and neck pain with radiographic, clinical, and electrophysiologic diagnostic evidence of active C6 and C7 radiculopathies from degenerative foraminal stenosis at the C5-6 and C6-7 levels. Posterior foraminotomies had been performed without significant improvement in his radicular pain. A repeat MRI demonstrated lateral foraminal stenosis from severe uncovertebral joint hypertrophy at the C56 and C6-7 levels. After acquiring informed consent from the patient, an anterior approach was performed with complete removal of the uncovertebral joints at both levels with discectomy and fusion. Postoperatively, the patient had complete resolution of his radicular pain and remained pain-free at the latest follow-up. Complete uncinatectomy and ACDF is an effective technique for complete foraminal decompression in cases of refractory radiculopathy and neck pain after unsuccessful posterior decompression.
机译:从退化的围盲虫/狭窄的宫颈放射病变的常见原因是严重的未发现性肥大。在这些情况下,在这些情况下,在这些情况下,在这些情况下减压在没有移除大部分的小面接头的情况下。从前进方法的全部除去未去染色的接合允许完全减压出去的宫颈神经根部,并且已被证明是一种安全技术。在这种外科媒体和技术报告中,我们证明了在先前多级后部传染术后复发性宫颈放射病症的前椎间切除术和融合(ACDF)期间的两级前行非下定术的手术解剖和手术技术。患者是一名67岁的男性,患有左臂和颈部疼痛,射线照相,临床和电生理诊断证据来自C5-6和C6-7水平的退化性狭窄中的活性C6和C7无线术。在他的自由疼痛的情况下,已经进行了后部传染术而没有显着改善。重复MRI在C56和C6-7水平上展示了严重未经染色的关节肥大的横向传染性狭窄。在获取患者的知情同意之后,通过用椎间切除术和融合完全去除未染色的未染色的关节进行前方法。术后,患者完全解决了他的自然疼痛,并在最新的后续行动中保持无痛。完全非单明术和ACDF是在不成功后减压后难治性放射疗病和颈部疼痛的情况下完全大部分减压的有效技术。

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