后路微创颈椎间孔切开减压术治疗神经根型颈椎病的研究概况

Research situation of posterior minimally invasive cervical foraminotomy for the treatment of cervical spondylotic radiculopathy

神经根型颈椎病是脊柱外科一种常见的退行性疾病,主要是由于神经根管狭窄神经根卡压引起的根性症状。如果经积极保守治疗无效则需行手术治疗。传统的后路椎间孔切开减压术能有效治疗神经根型颈椎病,但是该术式创伤大,术后并发症多,应用逐渐减少。近年来随着脊柱微创技术不断发展,通道扩张器的应用,内镜系统及显微镜的发展都使得微创术式既能带来好的临床效果,减少创伤,快速康复,而且降低了术后并发症,使得后路微创椎间孔切开减压术逐步受到重视。根据国内外文献报道,总结介绍几种后路微创行椎间孔切开减压术式。

Cervical spondylotic radiculopathy is a common degeneration disease in spine surgery,which is the well-know radicular symptoms due to stenosis of the nerve root canal. Surgical decompression may become necessary if conservative therapeutic measures fail. The conventional posterior cervical foraminotomy was a effective treatment for cervical spondylotic radiculopathy,however,the surgical gradually be eliminated because of the big trauma and the high rate of complications. Currently,due to the developments in the minimally invasive spine technology,the cervical endoscopic system,the microscopic system and the tubular retractor,posterior minimally invasive cervical foraminotomy technology has become increasingly popular because it could minimize the trauma,promote the recovery and reduce the rate of complication. The review is to introduce several kinds of posterior minimally invasive cervical foraminotomy technology according to the literatures at home and abroad.