[Treatment of cervical radiculopathy by laminoplasty and foraminotomy].
OBJECTIVE
To evaluate the results of laminoplasty and foraminotomy in treatment of cervical radiculopathy.


METHODS
Of 29 patients, there were 16 males and 13 females, aged 38 to 72 years with an average of 59 years. The reasons of intervertebral foramen stenosis were prolapse of intervertebral disc, osteophyte formation of Luschka joint, spinal canal stenosis combined with thickness of flavum ligmentum and facet joint hypertrophy. The most frequently affected intervertebral foramen were C5.6 and C6.7. The most significant symptoms after impairment of nerve root were reduced sensation, muscle weakness and diminished reflexes. On the basis of laminoplasty, the foraminotomy was performed on the stenotic foramen, including grade I decompression on 13 occasions, degree II on 21 occasions; and double level decompressions were performed on 5 patients.


RESULTS
After operation, reduced sensation was recovered most significantly and quickly, and the recovery of muscle weakness followed, while the recovery of diminished reflexes was the slowest and worst. In the followed-up patients, the percentage of excellent and good results was 97%.


CONCLUSIONS
In the cervical spondylotic patients who also have foraminar stenosis, performing laminoplasty with foraminotomy can get good results. If the indication are chosen properly, it can be used widely in clinic.
Department of Orthopaedics, Second Affiliated Hospital of China Medical University, Shenyang Liaoning 110003, PR China.
Chunhou
C
An
Xueyong
X
Liu
Quan
Q
Yuan
Haiyi
H
Wang
Zhenduo
Z
Cui
D000328:Adult; D000368:Aged; D019299:Decompression, Surgical / Q000379:methods; D005260:Female; D006801:Humans; D007796:Laminectomy / Q000379:methods; D008297:Male; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D011843:Radiculopathy / Q000209:etiology / Q000601:surgery*; D013126:Spinal Nerve Roots / Q000601:surgery*; D013130:Spinal Stenosis / Q000150:complications / Q000601:surgery; D013167:Spondylitis, Ankylosing / Q000150:complications / Q000601:surgery