Lateral approach for recurrent unilateral cervical radiculopathy after anterior discectomy with fusion. Report of two cases.
cervical spine
disc herniation
lateral approach
spondylotic radiculopathy
Journal
Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques
ISSN: 1895-4588
Titre abrégé: Wideochir Inne Tech Maloinwazyjne
Pays: Poland
ID NLM: 101283175
Informations de publication
Date de publication:
Apr 2019
Apr 2019
Historique:
received:
12
06
2018
accepted:
26
08
2018
entrez:
24
5
2019
pubmed:
24
5
2019
medline:
24
5
2019
Statut:
ppublish
Résumé
Recurrent radiculopathy after anterior cervical discectomy with fusion (ACDF) occurs in approximately 4% of cases. The main obstacles of revision surgery after ACDF via the same approach are scar tissue and arthrodesis. We present two patients with recurrent symptoms after ACDF who underwent revision surgery using an alternative, less invasive lateral approach (LA). These two patients both presented with recurrent unilateral cervical radiculopathy due to progression of intervertebral foraminal stenosis. The second patient also presented with paraparesis of the lower limbs and central stenosis. Anterior foraminotomy in the first case and oblique corpectomy in the second were performed via the LA. The previously implanted interbody cages were left intact and no new fusion procedures were needed. No spinal instability or symptom relapse was observed in follow-up. The lateral approach to the cervical spine enables direct and effective decompression of neural structures without violation of previously achieved interbody fusion.
Identifiants
pubmed: 31119004
doi: 10.5114/wiitm.2018.78884
pii: 33939
pmc: PMC6528121
doi:
Types de publication
Case Reports
Langues
eng
Pagination
348-352Déclaration de conflit d'intérêts
The authors declare no conflict of interest.
Références
J Neurosurg. 1999 Jan;90(1 Suppl):8-12
pubmed: 10413119
Neurosurgery. 2006 Feb;58(1 Suppl):ONS108-13; discussion ONS108-13
pubmed: 16543867
Neurosurgery. 2007 Nov;61(5):972-80; discussion 980
pubmed: 18091274
Eur Spine J. 2009 Jul;18 Suppl 2:272-5
pubmed: 19449041
Neurol Neurochir Pol. 2010 Jul-Aug;44(4):375-84
pubmed: 20827611
Neurol Neurochir Pol. 2016;50(1):48-51
pubmed: 26851690
Asian Spine J. 2016 Apr;10(2):231-7
pubmed: 27114762
Neurol Neurochir Pol. 2016;50(3):226-30
pubmed: 27154454
Neurol Neurochir Pol. 2016 Nov - Dec;50(6):491-496
pubmed: 27576671
Spinal Cord. 2018 May;56(5):426-435
pubmed: 29209025
Wideochir Inne Tech Maloinwazyjne. 2018 Dec;13(4):525-532
pubmed: 30524625
Surg Neurol. 1987 Mar;27(3):228-32
pubmed: 3810453
J Neurosurg. 1968 Mar;28(3):191-203
pubmed: 5643912
J Neurosurg. 1996 Feb;84(2):155-60
pubmed: 8592215