1. Multilevel, Percutaneous Posterior Cervical Interfacet Distraction and Fusion for Cervical Spondylotic Radiculopathy
- Author
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Jerik Villegas Yumol, Christian Julius Patero Mendoza, Miguel Rafael David Ramos, Mario Ratio Ver, Mikhail Lew Perez Ver, and Rafael Sorreta Joson
- Subjects
medicine.medical_specialty ,Percutaneous ,Visual analogue scale ,medicine.medical_treatment ,Kyphosis ,Anterior cervical discectomy and fusion ,Foraminotomy ,medicine ,Humans ,Orthopedics and Sports Medicine ,Radiculopathy ,Retrospective Studies ,business.industry ,Perioperative ,Middle Aged ,medicine.disease ,Sagittal plane ,Surgery ,Stenosis ,Spinal Fusion ,Treatment Outcome ,medicine.anatomical_structure ,Cervical Vertebrae ,Spondylosis ,Neurology (clinical) ,business ,Diskectomy - Abstract
STUDY DESIGN Retrospective review of patients who underwent multilevel posterior cervical interfacet distraction and fusion (PCIDF) using cages for cervical spondylotic radiculopathy (CSR). OBJECTIVE To determine clinical and radiographic outcomes following multilevel PCIDF. SUMMARY OF BACKGROUND DATA Anterior cervical discectomy and fusion has long been the standard of treatment for CSR. Advancements in surgery have employed minimally invasive techniques such as endoscopic discectomy, foraminotomy, and PCIDF. Studies on single-level PCIDF have reported good clinical outcomes, short hospital stays, and rare complications, but its application in multilevel disease is still evolving. METHODS Patients with CSR and confirmed radiologic evidence of multilevel foraminal stenosis without central canal stenosis were reviewed. Two-year outcomes of multilevel PCIDF included Neck Disability Index, neck and arm Visual Analogue Scale (VAS), radiographic cervical alignment parameters, evidence of fusion, and incidence of adjacent segment degeneration were compared at different time points. RESULTS Thirty patients (mean age 54.6 ± 8.3) were included in the study with an average of 3.4 ± 0.8 levels treated. Mean surgical duration and intraoperative blood loss was 143.2 ± 69.7 minutes and 27.7 ± 28.7 mL, respectively, with an average length of stay at 1.8 ± 1.5 days. Neck Disability Index, VAS-neck, and VAS-arm all significantly improved at 2 weeks (P
- Published
- 2021