Clinical Effects of Posterior Decompression Combined with Unilateral Fixation in Treatment of Single-segmentalcervical Spondylotic Radiculopathy

You-deng PU; Jun-yu YANG; Zhao-wen ZHOU; Hong DUAN; Qi-zeng SUN; Xiong JIN

doi:10.12259/j.issn.2095-610X.S20210230

Volume 42 Issue 2

Mar. 2021

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You-deng PU, Jun-yu YANG, Zhao-wen ZHOU, Hong DUAN, Qi-zeng SUN, Xiong JIN. Clinical Effects of Posterior Decompression Combined with Unilateral Fixation in Treatment of Single-segmentalcervical Spondylotic Radiculopathy[J]. Journal of Kunming Medical University, 2021, 42(2): 75-80. doi: 10.12259/j.issn.2095-610X.S20210230

Citation:

You-deng PU, Jun-yu YANG, Zhao-wen ZHOU, Hong DUAN, Qi-zeng SUN, Xiong JIN. Clinical Effects of Posterior Decompression Combined with Unilateral Fixation in Treatment of Single-segmentalcervical Spondylotic Radiculopathy[J]. Journal of Kunming Medical University, 2021, 42(2): 75-80. doi: 10.12259/j.issn.2095-610X.S20210230

Citation:

You-deng PU, Jun-yu YANG, Zhao-wen ZHOU, Hong DUAN, Qi-zeng SUN, Xiong JIN. Clinical Effects of Posterior Decompression Combined with Unilateral Fixation in Treatment of Single-segmentalcervical Spondylotic Radiculopathy[J]. Journal of Kunming Medical University, 2021, 42(2): 75-80. doi: 10.12259/j.issn.2095-610X.S20210230

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Clinical Effects of Posterior Decompression Combined with Unilateral Fixation in Treatment of Single-segmentalcervical Spondylotic Radiculopathy

doi: 10.12259/j.issn.2095-610X.S20210230

Dept. of Orthopedics，Calmette Hospital of Kunming First People’s Hospital，Kunming Yunnan 650000，China

Received Date: 2020-12-13
Publish Date: 2021-02-25

Abstract

Abstract

Objective To explore the initial clinical effect of posterior unilateral decompression and fixation for single-segment cervical spondylosis. Methods We retrospectively analyzed the clinical data of 26 patients with cervical spondylotic radiculopathy treated by unilateral decompression and fixation by posterior approach from January 2016 to December 2018. Among them, there were 16 males and 10 females, aged 39-62 years old, with an average age of 50.5 years. The surgical segment included 7 cases in C6/7, 12 cases in C5/6, and 7 cases in C4/5. Then we evaluated the operation time, intraoperative blood loss, visual analogue (VAS) score of cervical radiculopathy before operation and last follow-up, cervical spine functional disability index (NDI) score before operation and last follow-up, and Odom rating of postoperative cervical spondylopathy, 2 days after operation and at the last follow-up, the height of the cervical intervertebral space (DH), surgical complications, and the improvement of postoperative imaging examination of nerve compression. Results All 26 patients were followed up for 16-25 months, with an average of (18.1±4.8) months. The average operation time was (76.9±12.8) min; intraoperative blood loss was (87.3±14.3) mL; average preoperative radicular pain VAS score was (6.9±0.8) points, average postoperative radicular pain VAS score was (1.4±0.6). There were significant differences in radicular pain VAS scores between the preoperation and postoperation (P < 0.05); the preoperative NDI score was (32.4±4.3) points, and (16.3±6.7) points at the last follow-up. After operation 2 days, the DH average was (5.8±0.6) mm, and (5.7±0.4) mm at the last follow-up. There was no statistically significant difference between the two groups ( P > 0.05). The postoperative cervical spondylosis efficacy Odom rating was excellent in 8 cases (30.8%), 14 cases were good (53.8%), 4 cases were fair (15.4%), and the excellent and good rate was 84.6%. There were no complications such as infection, internal fixation loose, and vertebral artery injury. Conclusions The posterior unilateral decompression and fixation has a good initial effect in the treatment of single-segment cervical spondylotic radiculopathy. For cervical radiculopathy with lateral disc herniation and nerve root canal stenosis, it can be used as an alternative excluding the anterior surgery.
- Cervical spondylotic radiculopathy,
- Posterior decompression,
- Internal fixation,
- Pedicle screw,
- Single segment

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References(13)

References

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