Endoscopic minimally invasive cervical kyphoplasty for spinal cord type III cervical spondylosis can significantly improve cervical curvature
Most cervical spondylolisthesis with straightened cervical curvature or anteversion belong to spinal cord line type III spinal cord spondylolisthesis. Previous literature reported that posterior cervical single-opening kyphoplasty has satisfactory decompression effect on cervical spondylolisthesis with anteversion, but the decompression effect of endoscopic minimally invasive cervical kyphoplasty on spinal cord line type III spinal cord spondylolisthesis has not been reported yet.
In order to analyze the decompression effect and characteristics of endoscopic minimally invasive cervical canalplasty on spinal cord line III spinal cord cervical spondylosis, the scholars retrospectively analyzed 40 patients with spinal cord line III spinal cord cervical spondylosis who received surgical treatment. PACS software was applied to measure the preoperative and final follow-up cervical MRI parameters and compare the preoperative and postoperative cervical herniated disc volume, cervical Cobb angle and modified anterior spinal cord compression scores. The following conclusions were drawn: (1) satisfactory decompression results were obtained in all segments of spinal cord type III spinal cord cervical spondylosis, and patients' modified anterior spinal cord compression score decreased at the last follow-up compared with that before surgery (P < 0.05); patients' herniated disc volume decreased at the last follow-up compared with that before surgery (P < 0.05); patients' cervical Cobb angle increased at the last follow-up and cervical curvature improved significantly (P < 0.05). ②The results indicate that the endoscopic minimally invasive cervical kyphoplasty procedure has direct decompression and indirect decompression effects on spinal cord type III spinal cord cervical spondylosis, induces extensive natural resorption of the herniated cervical disc and increases the anterior cervical curvature, and can reduce or avoid anterior resection of the herniated cervical disc in patients with spinal cord type III spinal cord cervical spondylosis. This provides a new basis and strategy for the clinical treatment of spinal cord type III cervical spondylolisthesis.
QUOTED FROM: Ling Xiaoming, Zhang Chunlin, Yan Xu, Shao Chenglong: Cervical microendoscopic laminoplasty remarkably improves cervical curvature in the treatment of the spinal cord line type III cervical spondylotic myelopathy
