Posterior Lateral Endoscopic Cervical Discectomy Through a Lateral Mass Approach in the Treatment of Cervical Spondylotic Radiculopathy

作者全名：Chen, Mingxin; Yu, Qingshuai; Cheng, Si; Hu, Tao; Wang, Xin; Lei, Bo; Qin, Chaofan; Long, Qingyan; Deng, Zhongliang; Yan, Zhengjian

作者地址：[Chen, Mingxin; Yu, Qingshuai; Cheng, Si; Hu, Tao; Wang, Xin; Lei, Bo; Qin, Chaofan; Long, Qingyan; Deng, Zhongliang; Yan, Zhengjian] Chongqing Med Univ, Affiliated Hosp 2, Dept Orthoped, Chongqing, Peoples R China; [Long, Qingyan] Chongqing Med Univ, Affiliated Hosp 2, Dept Clin Skills Training Ctr, Chongqing, Peoples R China

通信作者：Yan, ZJ (通讯作者)，Chongqing Med Univ, Affiliated Hosp 2, Dept Orthoped, Chongqing, Peoples R China.

来源：WORLD NEUROSURGERY

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001241193700001

JCR分区：Q2

影响因子：1.9

年份：2024

卷号：185

期号：　

开始页：E1064

结束页：E1073

文献类型：Article

关键词：Cervical spondylotic radiculopathy; spondylotic radiculopathy Full-endoscopic cervical discectomy; Spine surgery

摘要：OBJECTIVE: The present study outlines the feasibility, safety, and short-term clinical outcomes of posterior lateral endoscopic cervical discectomy (PLECD) through a lateral mass approach for treating cervical spondylotic radiculopathy (CSR). METHODS: This single-center retrospective observational study involved 30 patients with single-level CSR who had failed conservative treatment and presented with clinical symptoms consistent with imaging findings undergoing PLECD via a lateral mass approach. Primary outcomes included the visual analog scale (VAS) for neck and arm pain, the Japanese Orthopedic Association (JOA) score, and the modified MacNab criteria. Radiographic follow-up consisted of static and dynamic cervical radiographs and computed tomographic scans. RESULTS: Thirty patients (13 men and 17 women; mean age 48.8 +/- 11.9 years) underwent this procedure, and the mean operative time was 74.90 +/- 13.52 minutes. Mean follow-up was 7.37 +/- 2.17 months. The VAS scores for the neck and arm decreased significantly at the last follow-up (neck, 26.80 +/- 4.75 to 9.87 +/- 1.78; arm, 71.30 +/- 8.48 to 14.73 +/- 4.00) ( P < 0.05). The JOA score also decreased from 13.47 +/- 1.36 to 15.90 +/- 0.92 at the last follow-up ( P < 0.05). Twenty-nine patients demonstrated satisfactory outcomes based on the modified MacNab criteria at the last followp. All patients exhibited a positive clinical response, experiencing relief from symptoms. Postoperative computed tomography (CT) scans confirmed the complete removal of lesions. CONCLUSIONS: PLECD through a lateral mass approach, as an alternative to conventional "keyhole " approaches, proves to be a novel and viable therapeutic option for CSR, demonstrating both high efficacy and safety.

基金机构：Science and Technology Research Program of Chongqing Municipal Education Commission [KJQN202100441]; Chongqing Medical Scientific Research Project [2024WSJK057]

基金资助正文：Conflict of interest statement: Supported by the Science and Technology Research Program of Chongqing Municipal Education Commission (Grant No. KJQN202100441) . Supported by the Chongqing Medical Scientific Research Project (Grant No. 2024WSJK057) . The authors have no conflicts of interest to disclose.