A Comparative Study of the Clinical Effects of Anterior Cervical Decompression,Fusion and Internal Fixation and Percutaneous Posterior Cervical Intervertebral Foramen K-Hole Technique Under the Guidance of O-Arm Navigation in the Treatment of Single-Level
Objective:To investigate the clinical effect of anterior cervical decompression,fusion and internal fixation and percutaneous posterior cervical intervertebral foramen K-hole technique under O-arm navigation in the treatment of single-level cervical spondylotic radiculopathy.Methods:A total of 27 patients with single level cervical spondylotic radiculopathy who were hospitalized and received surgical treatment in our department from February 2019 to August 2022 were divided into an observation group(O-arm assisted posterior cervical discectomy)of 13 patients and a control group(anterior cervical decompression,fusion,and internal fixation)of 14 patients according to their condition and willingness.Perioperative parameters,imaging,and clinical efficacy of each group were observed and compared.Results:All 27 patients were followed up for a period of 6 to 24 months,with an average of 15 months.There were no cases of internal fixation detachment or breakage.Compared with the control group,the observation group had a shorter surgical time and bleeding volume(P<0.05).In terms of intervertebral space height,the observation group's postoperative height decreased compared to preoperative height(P<0.05),while the control group's postoperative height increased compared to preoperative height(P<0.05).In terms of improving cervical physiological curvature,there was no significant difference between the observation group after surgery and before surgery(P>0.05),while the control group had the opposite effect(P<0.05).The follow-up visual simulation score and cervical dysfunction index score of the two groups of patients were significantly lower than preoperative scores(P<0.05),but there was no significant difference between the groups(P>0.05).Conclusion:Both of the two surgical methods can achieve good results in the treatment of single-segment cervical spondylotic radiculopathy,and there is no significant difference in the clinical effect between the two methods.With the increasing proficiency of the operation,the shortening of the operation time,and the increasing requirements of the patients on the appearance of the incision,on the basis of strictly mastering the surgical indications,the percutaneous posterior cervical intervertebral foramen K-hole technology under the guidance of the O-arm will be more widely used in the clinical treatment of single-segment cervical radiculopathy.
anterior cervical decompressionfusion and internal fixationforamen scopeO-armcervical spondylosis
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维普
