POSTERIOR CERVICAL ENDOSCOPIC LAMINECTOMY FOR CERVICAL SPONDYLOSIS WITH SPINAL CORD DISEASE

Abstract

Background: Cervical spondylotic myelopathy is one of the most common causes of spinal cord dysfunction. The treatment of cervical spondylotic myelopathy remains a clinical challenge. We aimed to investigate the reliability of posterior cervical endoscopic laminectomy for cervical spondylosis with spinal cord lesions.
Methods: We retrospectively analyzed 8 patients undergoing surgery. with posterior cervical endoscopic laminectomy. We used endoscopic assisted posterior laminectomy, a microscopic endoscope visualization system for the removal of disc herniation and intervertebral foramen decompression. The patients’ follow-up functional outcomes were evaluated using the Japanese Orthopaedic Association (JOA) scoring system for cervical myelopathy and visual analog scale (VAS) for the assessment of axial neck pain.
Results: After time of the operation, the patient had a good mental state, and the activity of the limbs was more flexible than before, and the consciousness was more comfortable than before. The postoperative VAS scores were significantly increased and JOA scores were significantly decreased.
Conclusion: Posterior cervical endoscopic laminectomy is a feasible method for the treatment of cervical spondylotic myelopathy with spinal cord lesions. It has the advantages of small trauma, less bleeding, short postoperative hospital stay and quick recovery.