PDF(Pubmed)
Abstract：
BACKGROUND: With the development of spinal endoscopic techniques, on the basis of our previous experience in treating various types of cervical disc herniation with this endoscopic technique, we took the lead in applying the percutaneous fully endoscopic anterior transcorporeal procedure to be utilized in the treatment of the isolated cervical ossification of the posterior longitudinal ligament (OPLL).
METHODS: A 66-year-old male patient who weighed 57 kg, with a height of 169 cm was admitted to the hospital on September 16, 2021 because of recurrent pain and numbness in the neck, shoulder, and right arm for 2 years, which as aggravated for the last 2 weeks. Two years ago, the patient developed neck and shoulder pain accompanied by right arm pain without obvious predisposing factors, and numbness in the first web space of the right hand. In the last 2 weeks, he had difficulty moving the right arm, but no pain or numbness in the contralateral arm. MRI and CT scans demonstrated that the ossified posterior longitudinal ligament of the cervical 5/6 vertebrae with spinal canal stenosis and seriously compressed the spinal cord patient was treated with a percutaneous fully endoscopic anterior transcorporeal procedure.
CONCLUSIONS: Our percutaneous fully endoscopic anterior transcorporeal procedure is a feasible, minimally invasive surgery for treating isolated ossification of the posterior longitudinal ligament in the cervical spine.
METHODS: A 66-year-old male patient who weighed 57 kg, with a height of 169 cm was admitted to the hospital on September 16, 2021 because of recurrent pain and numbness in the neck, shoulder, and right arm for 2 years, which as aggravated for the last 2 weeks. Two years ago, the patient developed neck and shoulder pain accompanied by right arm pain without obvious predisposing factors, and numbness in the first web space of the right hand. In the last 2 weeks, he had difficulty moving the right arm, but no pain or numbness in the contralateral arm. MRI and CT scans demonstrated that the ossified posterior longitudinal ligament of the cervical 5/6 vertebrae with spinal canal stenosis and seriously compressed the spinal cord patient was treated with a percutaneous fully endoscopic anterior transcorporeal procedure.
CONCLUSIONS: Our percutaneous fully endoscopic anterior transcorporeal procedure is a feasible, minimally invasive surgery for treating isolated ossification of the posterior longitudinal ligament in the cervical spine.
摘要：
背景：随着脊柱内窥镜技术的发展，根据我们以前使用这种内窥镜技术治疗各种类型的颈椎间盘突出症的经验，我们率先将经皮完全内镜下前路经皮移植手术用于治疗孤立性颈椎后纵韧带骨化症（OPLL）。
方法：一名66岁男性患者，体重57公斤，身高169厘米，因颈部反复疼痛和麻木于2021年9月16日入院，肩膀,和右臂两年，在过去的两周里恶化了。两年前,患者出现颈肩痛伴右臂疼痛，无明显诱发因素，右手的第一个网络空间麻木。在过去的两周里，他很难移动右臂，但对侧手臂没有疼痛或麻木。MRI和CT扫描显示，颈椎5/6椎骨的后纵韧带骨化，并伴有椎管狭窄和严重压迫的脊髓患者，均采用经皮完全内镜下前体经骨手术治疗。
结论：我们的经皮完全内镜前路经皮移植手术是可行的，微创手术治疗颈椎后纵韧带骨化症。
方法：一名66岁男性患者，体重57公斤，身高169厘米，因颈部反复疼痛和麻木于2021年9月16日入院，肩膀,和右臂两年，在过去的两周里恶化了。两年前,患者出现颈肩痛伴右臂疼痛，无明显诱发因素，右手的第一个网络空间麻木。在过去的两周里，他很难移动右臂，但对侧手臂没有疼痛或麻木。MRI和CT扫描显示，颈椎5/6椎骨的后纵韧带骨化，并伴有椎管狭窄和严重压迫的脊髓患者，均采用经皮完全内镜下前体经骨手术治疗。
结论：我们的经皮完全内镜前路经皮移植手术是可行的，微创手术治疗颈椎后纵韧带骨化症。
