Percutaneous posterior full-endoscopic cervical foraminotomy and discectomy: a finite element analysis and radiological assessment.
Adult
Biomechanical Phenomena
Cervical Vertebrae
/ diagnostic imaging
Diskectomy
Female
Finite Element Analysis
Foraminotomy
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Range of Motion, Articular
Reproducibility of Results
Stress, Mechanical
Tomography, X-Ray Computed
Treatment Outcome
Young Adult
Biomechanical effects
finite element analysis
posterior full-endoscopic cervical foraminotomy and discectomy
radiological assessment
Journal
Computer methods in biomechanics and biomedical engineering
ISSN: 1476-8259
Titre abrégé: Comput Methods Biomech Biomed Engin
Pays: England
ID NLM: 9802899
Informations de publication
Date de publication:
Sep 2020
Sep 2020
Historique:
pubmed:
15
5
2020
medline:
6
11
2020
entrez:
15
5
2020
Statut:
ppublish
Résumé
Percutaneous posterior full-endoscopic cervical foraminotomy and discectomy (PECFD) is recognized as a safe, effective, and minimally invasive treatment for cervical spondylotic radiculopathy (CSR). However, the potential mechanisms of the degenerative changes and postoperative recurrence after PECFD are unclear. In this study, a finite element (FE) analysis and radiological assessment were performed to evaluate the biomechanical effects after PECFD. The FE model indicated that the ROM and IDP of C5-C6 increased significantly after PECFD in the extension loading. The radiological evaluation revealed that the extension ROM of C2-C7 and the operative level increased significantly at the one-year follow-up compared with that obtained preoperatively. Combining the FE results and radiological changes, we conclude that the increase in the ROM and IDP at the operative level in the extension loading is the potential cause of the degenerative changes and recurrences after PECFD surgery.
Identifiants
pubmed: 32406769
doi: 10.1080/10255842.2020.1765162
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM