颈椎板开窗与神经根管扩大治疗神经根型颈椎病

Treatment of Nerve Root Cervical Spondylosis with Cervical Vertebral Lamina Fenestration and Nerve Root Canal Enlargement

目的:探讨应用颈椎板开窗与神经根管扩大治疗神经根型颈椎病的手术方法与效果。方法:采用选择性颈椎板开窗与神经根管扩大治疗神经根型颈椎病17例。结果:疗效标准按优、良、可、差4级评定,全组优良率82.3%。结论:颈椎板开窗与神经根管扩大治疗神经根型颈椎病,通过有限的颈椎板开窗,为神经孔的扩大、椎间盘或脊髓侧前方骨赘切除,提供有效的手术操作空间,同时保留了椎板、棘突、韧带等颈椎后方结构复合体,维持颈椎的稳定。

Objective To discuss the operation method and effect of using the cervical vertebral lamina fenestration and nerve root canal enlargement to treat nerve root cervical spondylosis. Methods Seventeen cases with nerve root cervical spondylosis were treated by selecting vertebral lamina fenestration and nerve root canal enlargement. Results The treatment results had a satisfactory effect rate of 82.3%. Conclusion The cervical vertebral lamina fenestration and verve root canal enlargement provides the effective operation space for the enlargement of neural foramen, and the cutting of osteophyte on the intervertebral disc or lateral anterior part of the spinal cord through the limited vertebral lamina fenestration, keeping the complex structure of vertebral lamina, spinous process and ligament posterior to the spine thus mainstaining the stability of the cervical spine.