Chinese Journal of Clinical Anatomy ›› 2020, Vol. 38 ›› Issue (2): 217-220.doi: 10.13418/j.issn.1001-165x.2020.02.023

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Surgical treatment analysis for cervical vertigo induced by cervical spondylotic myelopathy and/or cervical spondylotic radiculopathy 

LI Rui-feng1, YU Bao-long1, ZHANG Pei1, WU Yi-ming1, HE Yong-xiong2 , LI Wen-xuan1   

  1. 1. Department of Cervical Surgery, the Second Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010030, Inner Mongolia Province, China;  2. Department of Orthopedics, Inner Mongolia People's Hospital, Hohhot 010017, Inner Mongolia Province, China
  • Received:2019-05-10 Online:2020-03-25 Published:2020-04-01

Abstract: Objective To analyze the therapeutic effect of different surgical intervention on patients who suffered from vertigo induced by cervical spondylotic myelopathy and/or radiculopathy retrospectively. Methods  62 patients diagnosed with cervical vertigo induced by cervical spondylotic myelopathy and/or radiculopathy were analyzed. Posterior cervical open-door laminoplasty was performed by 34 patients (LAM group),  anterior  cervical discectomy and fusion was performed by the rest 28 patients (ACDF group). The Committee on Hearing and Equilibrium(CHE) standards were used to record the scores of patients before and after operation, to analyze the improvement of cervical vertigo after two different surgical methods, and compare the incidence of cervical vertigo in different lesions segments.Results In the LAM group, vertigo symptoms in 32 cases improved significantly after operation, including 25 cases completely disappeared, but the symptoms of other 2 cases had no significant remission.The remission rate of vertigo symptom was 94.11%. In the ACDF group, vertigo symptoms in 27 cases improved significantly after operation, including 25 cases completely disappeared, but the symptoms of other 1 cases had no significant remission.The remission rate of vertigo symptom was 96.42%. There were no statistical difference in incidence of vertigo when degeneration occurred in segments of  C3/4,C4/5,C5/6,C6/7 in ACDF group. Conclusions Surgical treatment is effective in improving the vertigo induced by cervical spondylotic myelopathy and/or radiculopathy,and there is no statistical difference in the remission rate of cervical vertigo between the two surgical methods.

Key words: Cervical spondylosis,   Cervical vertigo,   Surgical treatment

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