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

doi:10.13418/j.issn.1001-165x.2020.02.023

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

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

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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.

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Cervical spondylosis / 　 Cervical vertigo / 　 Surgical treatment

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LI Rui-feng, YU Bao-long, ZHANG Pei, WU Yi-ming, HE Yong-xiong , LI Wen-xuan. Surgical treatment analysis for cervical vertigo induced by cervical spondylotic myelopathy and/or cervical spondylotic radiculopathy [J]. Chinese Journal of Clinical Anatomy. 2020, 38(2): 217-220 https://doi.org/10.13418/j.issn.1001-165x.2020.02.023

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