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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2020

01-12-2020 | Spinal Stenosis | Research article

A comparison study of posterior cervical percutaneous endoscopic ventral bony decompression and simple dorsal decompression treatment in cervical spondylotic radiculopathy caused by cervical foraminal and/or lateral spinal stenosis: a clinical retrospective study

Authors: Yuexin Tong, Zhangheng Huang, Chuan Hu, Zhiyi Fan, Fucheng Bian, Fengkai Yang, Chengliang Zhao

Published in: BMC Musculoskeletal Disorders | Issue 1/2020

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Abstract

Background

Percutaneous endoscopic cervical decompression (PECD) is an ideal minimally invasive decompression technique for the treatment of cervical spondylotic radiculopathy (CSR). However, the mainstream is the resection of dorsal bone and removal of free nucleus pulposus. The necessity of excision of ventral osteophytes and hyperplastic ligaments in the treatment of CSR caused by cervical foraminal and/or lateral spinal stenosis (CFa/oLSS) to be discussed.

Methods

We performed a retrospective study of 46 patients with CSR caused by CFa/oLSS from January 2017 to November 2018. These patients received posterior percutaneous endoscopic cervical decompression-ventral bony decompression (PPECD-VBD)(23 cases, classified as VBD group) or posterior percutaneous endoscopic cervical decompression-simple dorsal decompression (PPECD-SDD)(23 cases, classified as SDD group). Following surgery, we recorded Visual Analogue Scale (VAS), Neck Disable Index (NDI), Japanese Orthopaedic Association (JOA) Scores and myodynamia. We further evaluated the changes of cervical curvature and cervical spine motion in the VBD group and recorded the operation time and complications during the follow-up of each patient.

Results

All patients underwent successful operations, with an average follow-up time of 16.53 ± 9.90 months. The excellent and good rates in the VBD and SDD groups were 91.29 and 60.87%, respectively. In the SDD group, neck-VAS, arm-VAS, and NDI scores were significantly higher than those of the VBD group at 1 day, 6 months, and 12 months after surgery (P < 0.05), while the JOA scores and improvement rate of JOA were significantly lower than those of the VBD group (P < 0.05). There were no significant differences in terms of angular displacement (AD), horizontal displacement (HD), segmental angle (SA) and cervical curvature (CA) before and after the operation in the VBD group (P > 0.05).

Conclusion

PPECD-VBD was significantly better than PPECD-SDD as well as PPECD-VBD had no significant effects on cervical spine stability or cervical curvature.
Literature
1.
Meyer F, Borm W, Thome C. Degenerative cervical spinal stenosis: current strategies in diagnosis and treatment. Dtsch Arztebl Int. 2008;105(20):366–72.PubMedPubMedCentral
2.
Nishizawa K, Mori K, Saruhashi Y, Matsusue Y. Operative outcomes for cervical degenerative disease: a review of the literature. ISRN Orthop. 2012;2012:165050.PubMedPubMedCentralCrossRef
3.
4.
Mok JK, Sheha ED, Samuel AM, McAnany SJ, Vaishnav AS, Albert TJ, Gang CH, Qureshi S. Evaluation of current trends in treatment of single-level cervical radiculopathy. Clin Spine Surg. 2019;32(5):E241–5.PubMedCrossRef
5.
Kotkansalo A, Malmivaara A, Korajoki M, Korhonen K, Leinonen V. Surgical techniques for degenerative cervical spine in Finland from 1999 to 2015. Acta Neurochir. 2019;161(10):2161–73.PubMedCrossRef
6.
Nesterenko SO, Riley LH 3rd, Skolasky RL. Anterior cervical discectomy and fusion versus cervical disc arthroplasty: current state and trends in treatment for cervical disc pathology. Spine (Phila Pa 1976). 2012;37(17):1470–4.CrossRef
7.
Guo Q, Wang L, Zhang B, Jiang J, Guo X, Lu X, Ni B. Standalone anterior cervical discectomy and fusion versus combination with Foraminotomy for the treatment of cervical Spondylotic radiculopathy secondary to bony Foraminal stenosis. World Neurosurg. 2016;95:134–42.PubMedCrossRef
8.
Kim SJ, Seo JS, Lee SH, Bae J. Comparison of anterior cervical Foraminotomy and posterior cervical Foraminotomy for treating single level unilateral cervical radiculopathy. Spine (Phila Pa 1976). 2019;44(19):1339–47.CrossRef
9.
Lei T, Wang H, Tong T, Ma Q, Wang L, Shen Y. Enlarged anterior cervical diskectomy and fusion in the treatment of severe localised ossification of the posterior longitudinal ligament. J Orthop Surg Res. 2016;11(1):129.PubMedPubMedCentralCrossRef
10.
Fraser JF, Hartl R. Anterior approaches to fusion of the cervical spine: a metaanalysis of fusion rates. J Neurosurg Spine. 2007;6(4):298–303.PubMedCrossRef
11.
12.
Chung JY, Kim SK, Jung ST, Lee KB. Clinical adjacent-segment pathology after anterior cervical discectomy and fusion: results after a minimum of 10-year follow-up. Spine J. 2014;14(10):2290–8.PubMedCrossRef
13.
Shousha M, Alhashash M, Allouch H, Boehm H. Reoperation rate after anterior cervical discectomy and fusion using standalone cages in degenerative disease: a study of 2,078 cases. Spine J. 2019;19(12):2007–12.PubMedCrossRef
14.
15.
Scoville WB. Cervical spondylosis treated by bilateral facetectomy and laminectomy. J Neurosurg. 1961;18:423–8.PubMedCrossRef
16.
Bydon M, Mathios D, Macki M, de la Garza-Ramos R, Sciubba DM, Witham TF, Wolinsky JP, Gokaslan ZL, Bydon A. Long-term patient outcomes after posterior cervical foraminotomy: an analysis of 151 cases. J Neurosurg Spine. 2014;21(5):727–31.PubMedCrossRef
17.
Wagner R, Telfeian AE, Iprenburg M, Krzok G. Minimally invasive fully endoscopic two-level posterior cervical foraminotomy: technical note. J Spine Surg. 2017;3(2):238–42.PubMedPubMedCentralCrossRef
18.
19.
Kim CH, Kim KT, Chung CK, Park SB, Yang SH, Kim SM, Sung JK. Minimally invasive cervical foraminotomy and diskectomy for laterally located soft disk herniation. Eur Spine J. 2015;24(12):3005–12.PubMedCrossRef
20.
Deng ZL, Chu L, Chen L, Yang JS. Anterior transcorporeal approach of percutaneous endoscopic cervical discectomy for disc herniation at the C4-C5 levels: a technical note. Spine J. 2016;16(5):659–66.PubMedCrossRef
21.
Mehren C, Wanke-Jellinek L. Posterior foraminotomy for lateral cervical disc herniation. Eur Spine J. 2019;28(Suppl 1):1–2.PubMedCrossRef
22.
Wan Q, Zhang D, Li S, Liu W, Wu X, Ji Z, Ru B, Cai W. Posterior percutaneous full-endoscopic cervical discectomy under local anesthesia for cervical radiculopathy due to soft-disc herniation: a preliminary clinical study. J Neurosurg Spine. 2018;29(4):351–7.PubMedCrossRef
23.
Guo C, Zhang L, Kong Q, Wang Y, Yang J, Yan Y, Wu H, Peng Z. Full endoscopic key hole technique for cervical Foraminal stenosis: is mere dorsal decompression enough? World Neurosurg. 2019;126:e16–26.PubMedCrossRef
24.
Wu PF, Li YW, Wang B, Jiang B, Tu ZM, Lv GH. Posterior cervical Foraminotomy via full-endoscopic versus microendoscopic approach for radiculopathy: a systematic review and meta-analysis. Pain Physician. 2019;22(1):41–52.PubMed
25.
Oh HS, Hwang BW, Park SJ, Hsieh CS, Lee SH. Percutaneous endoscopic cervical discectomy (PECD): an analysis of outcome, causes of reoperation. World Neurosurg. 2017;102:583–92.PubMedCrossRef
26.
27.
Yang B, Xie J, Yin B, Wang L, Fang S, Wan S. Treatment of cervical disc herniation through percutaneous minimally invasive techniques. Eur Spine J. 2014;23(2):382–8.PubMedCrossRef
28.
Zhang C, Wu J, Xu C, Zheng W, Pan Y, Li C, Zhou Y. Minimally invasive full-endoscopic posterior cervical Foraminotomy assisted by O-arm-based navigation. Pain Physician. 2018;21(3):E215–23.PubMed
29.
Klaassen Z, Tubbs RS, Apaydin N, Hage R, Jordan R, Loukas M. Vertebral spinal osteophytes. Anat Sci Int. 2011;86(1):1–9.PubMedCrossRef
30.
Yamazaki S, Kokubun S, Ishii Y, Tanaka Y. Courses of cervical disc herniation causing myelopathy or radiculopathy: an analysis based on computed tomographic discograms. Spine (Phila Pa 1976). 2003;28(11):1171–5.
31.
Zheng C, Huang X, Yu J, Ye X. Posterior percutaneous endoscopic cervical Diskectomy: a single-center experience of 252 cases. World Neurosurg. 2018;120:e63–7.PubMedCrossRef
32.
Burkhardt BW, Muller S, Oertel JM. Influence of prior cervical surgery on surgical outcome of endoscopic posterior cervical Foraminotomy for osseous Foraminal stenosis. World Neurosurg. 2016;95:14–21.PubMedCrossRef
33.
Deutsch H, Haid RW, Rodts GE, Mummaneni PV. Postlaminectomy cervical deformity. Neurosurg Focus. 2003;15(3):E5.PubMedCrossRef
34.
Jaumard NV, Welch WC, Winkelstein BA. Spinal facet joint biomechanics and mechanotransduction in normal, injury and degenerative conditions. J Biomech Eng. 2011;133(7):071010.PubMedCrossRef
35.
Al-Rawahi M, Luo J, Pollintine P, Dolan P, Adams MA. Mechanical function of vertebral body osteophytes, as revealed by experiments on cadaveric spines. Spine (Phila Pa 1976). 2011;36(10):770–7.CrossRef
36.
Kim CH, Shin KH, Chung CK, Park SB, Kim JH. Changes in cervical sagittal alignment after single-level posterior percutaneous endoscopic cervical diskectomy. Global Spine J. 2015;5(1):31–8.PubMedCrossRef
Metadata
Title
A comparison study of posterior cervical percutaneous endoscopic ventral bony decompression and simple dorsal decompression treatment in cervical spondylotic radiculopathy caused by cervical foraminal and/or lateral spinal stenosis: a clinical retrospective study
Authors
Yuexin Tong
Zhangheng Huang
Chuan Hu
Zhiyi Fan
Fucheng Bian
Fengkai Yang
Chengliang Zhao
Publication date
01-12-2020
Publisher
BioMed Central
Keyword
Spinal Stenosis
Published in
BMC Musculoskeletal Disorders / Issue 1/2020
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-020-03313-2

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