Consideration of Pathology in the Selection of Operative Methods—Anterior Surgery or Posterior Surgery for Cervical Radiculopathy—

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  • 病態による手術手技選択—頚椎神経根症に対する前方手術もしくは後方手術—

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Abstract

<p>  We discuss cervical radiculopathy cases and consider the selection of anterior cervical surgery or posterior cervical surgery based on the lesion site and pathology. Lesions causing radiculopathy include anterior elements, such as disc herniation and intervertebral bony spurs, and posterior elements, including facet hypertrophy, thickened yellow ligament, and periarticular fibrous tissue. At the point of the lesion sites, we also must take into account the anatomical situation. Finally, we show the surgical strategy for cervical radiculopathy in our institutes and simultaneously describe the postoperative complications of anterior cervical surgery, as artificial disc replacement surgery will increase in the near future in Japan.</p>

Journal

  • Spinal Surgery

    Spinal Surgery 33 (3), 267-274, 2019

    The Japanese Society of Spinal Surgery

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