In order to evaluate the efficacy of posterior cervical spinal canal decompression combined with intervertebral foramen enlargement in the treatment of multi-segmental cervical spinal canal stenosis with root symptoms, the clinical data of 18 patients who underwent posterior cervical spinal canal decompression combined with intervertebral foramen enlargement in the first affiliated Hospital of Chongqing Medical University were studied retrospectively. Basic information of patients, length of stay, operation time, intraoperative blood loss and types of posterior cervical spinal canal decompression were collected. The effect of surgical treatment was evaluated by comparing JOA spinal cord function score, cervical dysfunction index (NDI), cervical VAS pain score, upper limb VAS pain score, Tsuji axial symptom score and related imaging parameters (including C2-7 cobb angle, C2-7 SVA, cervical CCI index, intervertebral foramen area and postoperative residual articular process spacing). The results showed that all the 18 patients completed the operation and follow-up successfully. The hospitalization time, operation time and intraoperative blood loss were 14.11 ±3.12d, 158.61 ±33.07and 147.78 ±79.52ml, respectively. The follow-up time of all patients was (19.22 ±13.40) months. JOA score, neck pain and upper limb pain VAS score, NDI score and Tsuji score at the last follow-up were better than those before operation. JOA score and upper limb pain VAS score at the last follow-up were better than those at 1 week after operation. There was no significant difference in neck pain VAS score, NDI score and Tsuji score between the last follow-up and 1 week after operation. There was no obvious sagittal imbalance of cervical vertebrae. Therefore, the author thinks that the short-term effect of posterior cervical spinal canal decompression combined with intervertebral foramen enlargement in the treatment of multi-segmental cervical spinal canal stenosis with root symptoms is good, the root symptoms are obviously relieved, and all the patients return to normal life. no adverse events such as affecting sagittal stability have been found.

Hu Yijie, Chen Jiaxing, Tang Ke, Quan Zhengxue. Clinical evaluation of posterior cervical spinal canal decompression combined with enlarged intervertebral foramen in the treatment of multi-segmental cervical spinal canal stenosis with root symptoms. Academic Journal of Medicine & Health Sciences (2024), Vol. 5, Issue 10: 56-63. https://doi.org/10.25236/AJMHS.2024.051009.

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