PDF(Pubmed)
Abstract：
Cervical radiculopathy is a common condition characterized by neck pain radiating to the upper and lower limbs, often accompanied by tingling sensations, numbness, and weakness. We present the case of a 32-year-old male who presented with left-sided cervical radiculopathy and neurological deficits. Clinical examination revealed left C5/C6/C7 hypoesthesia, diminished grip strength, reduced power in the left upper and lower extremities, and a positive Spurling test. Magnetic resonance imaging (MRI) of the cervical spine revealed multilevel cervical disc herniations at C4-C5 and C5-C6 levels, resulting in stenosis. The patient underwent anterior cervical discectomies with artificial disc replacement (cervical disc arthroplasty (CDA)) at the C5-C6 level. The surgical procedure was uneventful, and the patient experienced prompt relief from neurological symptoms within two weeks postoperatively. Follow-up radiographs at one week post-surgery demonstrated a preserved range of motion at each operated level with the artificial disc in situ. This case highlights the successful management of cervical radiculopathy with neurological deficits using anterior cervical discectomy and artificial disc replacement. The timely intervention led to the resolution of symptoms and restoration of function, demonstrating the efficacy of this surgical approach in alleviating radicular symptoms and preserving cervical spine mobility. Further studies and long-term follow-up are warranted to validate the long-term outcomes and durability of artificial disc replacement in such cases.
摘要：
颈神经根病是一种常见病，其特征是颈部疼痛放射到上肢和下肢，经常伴有刺痛感，麻木,和弱点。我们介绍了一名32岁的男性，他患有左侧颈神经根病和神经功能缺损。临床检查显示左侧C5/C6/C7感觉减退，握力减弱,左上肢和下肢的力量降低，和一个积极的喘振测试。颈椎的磁共振成像（MRI）显示C4-C5和C5-C6水平的多节段颈椎间盘突出症，导致狭窄。患者在C5-C6水平下进行了颈前路椎间盘切除术，并进行了人工椎间盘置换（颈椎间盘置换术（CDA））。手术过程顺利，患者在术后两周内神经系统症状迅速缓解。手术后一周的随访X射线照片显示，在人造椎间盘原位的情况下，每个手术水平的运动范围保持不变。此病例强调了使用前路颈椎间盘切除术和人工椎间盘置换术成功治疗神经根型颈椎病伴神经功能缺损。及时的干预导致症状的解决和功能的恢复，证明了这种手术方法在减轻神经根症状和保持颈椎活动能力方面的功效。在这种情况下，需要进一步的研究和长期随访来验证人工椎间盘置换术的长期结果和耐久性。
