Current trends: Operative Strategy for the Management of Cervical Radiculopathy

Abstract

BackgroundCervical radiculopathy is caused by compression of spinal nerve roots due to disc herniation, spondylosis, instability, trauma or rarely tumors. Due to compressive pathology patients present with sensorimotor deficit syndrome like neck pain, numbness, and /or tingling sensation in upper extremities. [1,2]. The purpose of this review is to address some questions. What are the current surgical planning and treatment options for the patient with cervical radiculopathy ?How did the surgical skill changed and transformed from past to present ? What are the determining key structures and points to be implemented for successful surgery technique? Cervical osteophytes are associated with radiculopathy which causes dysphasia, severe pain and aspiration which compress esophagus, nerve root and pharynx . [3,4]. The presence of osteophtyes is related to increase risk of foreign body impaction .Most of the surgeries with traditional procedure and microendoscopic surgery are rely on direct visualization to access the target pathology for adequate decompression .Due to progressive development of the spinal endoscopic technique in recent year helped quality treatment after failed conservative and traditional therapy.The Endoscopic surgery can be done from anterior transdiscal approach and the posterior interlaminar access. The main purpose of the clinician is to rapid diagnosis and treatment of the symptomatic pathology, return to normal activities with less hospital stay. MethodsTo get adequate information and sufficient data, we search PubMed database till 2016 September. It was confirmed to English languages literature only .We approach our study to specific current topics . Through search engine in database we use term at first "Operative treatment of cervical radiculopathy". The search was total 427 articles , we use modern scientific library of first affiliated hospital of Chongqing medical university where almost 90 pc articles can be downloaded and can access full text. Then to find specific and targeted articles we use subgroup as "MIS,Surgical approaches for cervical radiculpathy " then articles was confirmed to 46. Then again to make it more specific and useful articles for our review we again use some key word "Current operative treatment of cervical radiculopathy "then useful articles were narrowed to 24. We review all the relevant full text manuscripts from PubMed