Short-term Efficacy of Cervical Posterior Transforaminal Window Decompression and Nucleus Pulposus Removal Combined with Small Needle Knife Technique in the Treatment of Cervical Spondylotic Radiculopathy
YAN Zhi-gang,WANG Yuan-li,SHI Jian-feng
Department of Orthopaedics, Beijing Longfu Hospital, Beijing 100010, China
Abstract:
Objective To observe the short-term effect of posterior cervical percutaneous total endoscopic nucleus pulposus removal combined with small needle knife technique in the treatment of cervical spondylotic radiculopathy and to explore the treatment of this disease, so as to promote the recovery of patients as soon as possible. Methods 80 cases of cervical spondylotic radiculopathy were randomly divided into operation group and combined group. Each group consisted of 40 cases. The operation group was treated by posterior cervical percutaneous endoscopic nucleus pulposus excision. The combined group was treated by posterior cervical percutaneous endoscopic nucleus pulposus excision combined with small needle knife technique. After treatment, the total effective rate, the degree of shoulder and neck pain (VAS score), the analgesic effect (pain relief rate) and the symptom function score (vertigo, headache, neck rotation test) were compared between the two groups. Results The total effective rate (92.5%) of the combined group was higher than that of the operation group (70.0%). The pain relief rate (97.5%) of the combined group was higher than that of the operation group(85.0%). The symptom function score of the combined group was lower than that of the operation group (P < 0.05).Conclusion Posterior cervical percutaneous total endoscopic nucleus pulposus excision combined with small needle knife technique in the treatment of cervical spondylotic radiculopathy has a significant short-term effect,which can effectively alleviate shoulder and neck pain, improve analgesic effect, reduce symptoms and functions score. It is worthy of clinical implementation.
