A novel technique for cervical facet joint hyperplasia-spondylotic radiculopathy by laminar and lateral mass screw co-fixations.

A novel technique for cervical facet joint hyperplasia-spondylotic radiculopathy by laminar and lateral mass screw co-fixations.

World Neurosurg. 2017 Nov 13;:

Authors: Sheng SR, Wang K, Nisar M, Chen JX, Wu AM, Wang XY

Abstract
OBJECTIVE: To describe the novel technique and report the outcomes of cervical spondylotic radiculopathy caused by facet joint hyperplasia treated with minimally invasive surgery by laminar and lateral mass screw co-fixations.
METHOD: In this retrospective study, patients with spondylotic radiculopathy caused by facet joint hyperplasia underwent this technique in our unit between January 2010 and June 2015. Hospital charts, magnetic resonance imaging studies, and follow-up records for all the patients were reviewed. Outcomes were assessed based on neurologic status, magnetic resonance imaging, visual analog scale (VAS) for neck and radicular pain, and by the short form-36 health survey questionnaire.
RESULT: Thirteen men and 5 women, aged 47 to 73 years (mean, 61.8 years), were included in this study. The follow-up time ranged from 19 to 50 months (mean, 32.4 months). The mean VAS scores for radicular pain and neck pain as well as the scores for all eight domains of the short form-36 health survey questionnaire showed significant improvements (P<0.05). Cervical lordosis showed bending, whereas the height of the targeted disc segment showed no change (P＞0.05). Complications included 2 cases of neck pain that lasted for 3 months.
CONCLUSION: Minimally invasive surgery by lamina and lateral mass screw co-fixation is safe and effective for the treatment of cervical spondylotic radiculopathy caused by facet joint hyperplasia. In addition to sufficient decompression, this technique provides relative stability to the cervical spine.

PMID: 29146433 [PubMed - as supplied by publisher]

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