• World Neurosurg · Nov 2020

    Case Reports

    Modified Posterior Percutaneous Endoscopic Cervical Discectomy for the treatment of degenerative cervical spondylotic myelopathy caused by vertebral posterior osteophytosis：a case report.

    • Zhangheng Huang, Yuexin Tong, Zhiyi Fan, Chengliang Zhao, and Ping Gong.
    • Department of Minimally Invasive Spine Surgery, Affiliated Hospital of Chengde Medical University, Shuangqiao District, Chengde, Hebei Province, China.
    • World Neurosurg. 2020 Nov 1; 143: 462-465.

    BackgroundThe clinical application of posterior percutaneous endoscopic cervical discectomy (PPECD) achieves stable curative effects and satisfactory results in patients with cervical spondylotic radiculopathy. However, the management of PPECD in the treatment of CSM is rarely discussed.Case DescriptionA case of CSM in a 37-year-old woman with vertebral posterior marginal osteophytosis was managed by modified PPECD with anterior bony decompression. Here, we describe the first case report of CSM complicated by vertebral posterior marginal osteophytosis that was successfully treated by modified PPECD with anterior bony decompression and showed excellent response to treatment. The clinical symptoms were relieved after surgery, the pain and numbness of the left upper extremity improved significantly, the feeling of banding disappeared, and walking balance was restored. Postoperative scans and images of the cervical spine revealed successful anterior vertebral canal bone excision and decompression.ConclusionsThis technique of modified PPECD with anterior bony decompression has the advantages of reduced trauma and shorter operative time, and it is very effective in the treatment of degenerative CSM caused by vertebral posterior osteophytosis. No surgery-related complications were noted.Copyright © 2020 Elsevier Inc. All rights reserved.

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