Rinsho Seikei Geka Volume 46, Issue 3 (March 2011)

Cervical Microendoscopic Laminoplasty for Cervical Myelopathy Caused by Cervical Disc Herniation. Report of Two Cases Mayumi SONEKATSU 1 , Yukihiro NAKAGAWA 1 , Munehito YOSHIDA 1 , Hiroshi YAMADA 1 , Hiroshi HASHIZUME 1 , Akihito MINAMIDE 1 , Masahiko KIOKA 1 1Department of Orthopaedic Surgery,Wakayama Medical University Keyword: 頚髄症(cervical myelopathy) , 頚椎椎間板ヘルニア(cervical disc herniation) , 内視鏡下頚椎後方除圧術(cervical posterior microendoscopic laminoplasty) pp.275-279
Published Date 2011/3/25
DOI https://doi.org/10.11477/mf.1408101942
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 We report two cases of cervical myelopathy in patients with cervical disc herniation (CDH) who underwent cervical posterior microendoscopic laminoplasty (CMEL). The patients were a 62-year-old male and a 50-year-old female,and both had a single level CDH. The patients complained of typical symptoms of myelopathy,and their primary care physicians recommended operative treatment. Anterior cervical discectomy and fusion (ACDF) was planned,however,both patients refused it and desired a minimally invasive procedure. CMEL was performed in both cases,and the patients' myelopathic symptoms improved immediately after the operation. MRI showed no evidence of CDH at six months and 12 months,respectively,after the operation. ACDF is recognized as the gold standard for the treatment of cervical myelopathy secondary to CDH. We report two cases of cervical myelopathy patients associated with CDH in which treatment by CMEL was followed by rapid resolution of the symptoms and spontaneous absorption of the herniated disc within a year. CMEL is a possible alternative procedure for the treatment of cervical myelopathy with CDH by minimally invasive surgery.

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46巻3号 (2011年3月)
電子版ISSN 1882-1286 印刷版ISSN 0557-0433 医学書院