Deep Learning-Based Cervical Spine Posterior Percutaneous Endoscopic Disc Nucleus Resection for the Treatment of Cervical Spondylotic Radiculopathy

Abstract

In the past 10 years, the technology of percutaneous spine endoscopy has been continuously developed. The indications have expanded from simple lumbar disc herniation to various degenerative diseases of the cervical, thoracic, and lumbar spine. Traditional surgery for the treatment of cervical radiculopathy includes anterior cervical decompression surgery, anterior cervical decompression plus fusion surgery, and posterior limited fenestration surgery. This article mainly studies the treatment of cervical spondylosis caused by radiculopathy caused by the nucleus resection of the posterior cervical spine percutaneous spinal endoscopy based on deep learning. In the PPECD group, the height of the intervertebral cavity was measured before the operation and during the final follow-up, and the height change of the intervertebral cavity was evaluated. The relative angle and relative displacement of the sagittal plane of the operation segment in the PPECD group were measured, and the stability was evaluated. Using the cervical spine X-ray Kelvin degeneration evaluation criteria, before and during the final follow-up operation, the degeneration of the adjacent segments of the two groups was evaluated. A retrospective analysis of 26 cases of cervical radiculopathy that met the criteria for diagnosis, inclusion, and exclusion was reviewed. Among them, 11 cases were treated with PPECD surgery; 15 cases were treated with ACDF surgery. According to the evaluation method of Odom, the excellent rate and the good rate of the two groups were compared. According to the location of the lesion, the nerve detection or dull tip device is exposed under the armpit or shoulder of the nerve root, and the protruding nucleus pulposus tissue is explored and removed, and annulus fibrosus is performed as needed. After hemostasis was detected, the surgical instruments were removed and the surgical incision was completely sutured. Before the operation and 3 months after the operation, the final follow-up made no significant difference in the overall average height of the intervertebral cavity (F = 2.586, P > 0.05 ). The results show that posterior foramen expansion is an effective surgical method for the treatment of cervical spondylotic radiculopathy, but surgical adaptation requires strict management. In order to achieve satisfactory results, appropriate cases must be selected.

Intervertebral Canals and Intracanal Ligaments as New Terms in Terminologia anatomica

“…In scientific articles, the terms "intervertebral canal" and "intervertebral foramen" were sometimes synonymous [2]. Thorough examination of the lateral structures of the cervical part of the vertebral column made it possible to assess the peculiarities of the shape and size of the transverse processes and intervertebral foramen, to designate the lateral aperture and to describe the anatomical entities involved in the formation of the canal walls.…”

“…The clinical manifestation of dystrophic diseases of the cervical part of the vertebral column depends on its anatomical features and pathological changes [1]. In particular, the pathogenesis of radicular syndrome is associated with dystrophy of the intervertebral discs and connective tissue elements of the spine, and of compression of the spinal nerves by fibrous and bony overgrowths [2,3]. At the same time, the clinical manifestations of the disease do not always correspond to the diagnosed morphological changes.…”

The Efficacy of Anterior Cervical Corpectomy and Fusion and Posterior Total Laminectomy on Cervical Spinal Cord Injury and Quality of Life

“…In addition, the anterior approach has less room for exposure and, accordingly, minimal bleeding without damaging large vessels. For the posterior approach, the muscle tissue behind the vertebral body is more developed, the structure is close, the blood supply is more abundant, and there are more small vessels [ 11 ]. Although the structure is simple, it takes more time to better expose the operation site and control the amount of blood loss.…”

“…Due to the various mechanisms of cervical spinal cord injury, a range of surgical methods can be used. Anterior [ 10 ] or posterior approach decompression resection [ 11 ] is a common surgical method for the treatment of cervical spondylosis and has also been gradually applied in the treatment of cervical spinal cord injury. Decompression surgery can release pressure on the spinal cord with edema after injury, and the timing of surgery is particularly important to optimize recovery.…”

Retracted: Deep Learning-Based Cervical Spine Posterior Percutaneous Endoscopic Disc Nucleus Resection for the Treatment of Cervical Spondylotic Radiculopathy

“…This article has been retracted by Hindawi following an investigation undertaken by the publisher [ 1 ]. This investigation has uncovered evidence of one or more of the following indicators of systematic manipulation of the publication process: Discrepancies in scope Discrepancies in the description of the research reported Discrepancies between the availability of data and the research described Inappropriate citations Incoherent, meaningless and/or irrelevant content included in the article Peer-review manipulation …”