Introduction

Transcorporeal anterior cervical microforaminotomy is a motion-preserving surgery. It addresses directly to the prolapsed disc in contrast to posterior laminoforaminotomy and does not affect facet joints; in the transuncal approach, there is a chance of vertebral artery injury and it also decreases disc height; hence, may alter the motion of that segment.

Objective

Aim is to assess the outcome of surgery and its effectiveness.

Methods

A total of 40 patients were observed retrospectively of which 33 were male and 7 were female. A single study of transcorporeal anterior cervical microforaminotomy was analyzed in a private hospital (Comfort Hospital), Dhaka, Bangladesh. Patients having pure brachialgia who were not relieved by conservative treatment over 6–8 weeks in cervical disc prolapse were included in the study. Patients having more than one level of disease, features of myelopathy, or instability were excluded from the study.

Results

All patients were pain-free postoperatively, although after one to two months 2 out of 40 patients developed brachialgia and required anterior cervical discectomy and fusion.

Conclusion

Transcorporeal microforaminotomy for brachialgia is a safe and effective approach that is motion preserving and minimally invasive as well.

中文翻译：

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颈臂痛患者经体前路颈椎微孔切开术的结果和技术问题

介绍

经体外颈椎前路微孔切开术是一种保持运动的手术。与后椎间孔切开术相比，它直接针对脱出的椎间盘，并且不影响小关节；在经脐入路中，有可能会损伤椎动脉，也会降低椎间盘高度；因此，可能会改变该段的运动。

客观的

目的是评估手术的结果及其有效性。

方法

共回顾性观察40例患者，其中男性33例，女性7例。在孟加拉国达卡的一家私立医院（Comfort 医院）中分析了一项经身体前路颈椎微孔切开术的研究。研究中纳入了单纯臂痛的患者，这些患者在 6-8 周内通过保守治疗未能缓解颈椎间盘突出症。患有多于一种疾病、脊髓病特征或不稳定的患者被排除在研究之外。

结果

所有患者术后均无疼痛，但 1 至 2 个月后，40 名患者中有 2 名出现臂痛并需要前路颈椎间盘切除术和融合术。

结论

经体微孔切开术治疗臂痛是一种安全有效的方法，既能保持运动，又能微创。