Abstract：Objective To analyze the long-term effect of minimally invasive surgery on cervical vertigo caused by the intervertebral disc.Methods Twenty-eight patients (13 males, 15 females and involving 64 discs) who were treated at our department between January 2013 and July 2016 were selected. These patients aged 37 to 76 , with an average age of 55.3. Their symptoms lasted 2 months to 20 years, median was 12.5 months,quartile was (2,51) months,and the average follow-up was(79.5±11.0)months. According to the degeneration of the intervertebral disc, coblation nucleoplasty combined with ozone was used to decompress and shape the disc if the disc protrusion compressed spinal marrow or blood vessels and the intervertebral space was stable. Anterior decompression and fusion with zero-notch self-stabilized cage were used for the treatment of rigid compression and intervertebral instability. Functional examination, X-ray, CT and MRI were performed before operation and 1 week, 1 month after surgery,and the final follow-up. The curative effect of cervical vertigo was evaluated and compared with the EEV and CVSF functional score.Results The patients recovered well after surgery, and the image examination showed that the intervertebral disc was in good shape, decompression was sufficient and that the intervertebral space was stable. At 1 week,1 month after surgery,and during the final follow-up, the EEV scores became significantly lower (P＜0.05) , especially during the final follow-up (P＜ 0.05), so were the CVSF scores.Conclusions Minimally invasive surgery has a good long-term effect on intervertebral discogenic cervical vertigo. This approach is minimally invasive, simple, inexpensive and effective.
白春宏, 孙明林, 王锋, 金晋浙. 微创手术治疗椎间盘源性颈性眩晕的长期疗效[J]. 武警医学, 2021, 32(2): 140-144.
BAI Chunhong, SUN Minglin, WANG Feng, JIN Jinzhe. Long-term effect of minimally invasive surgery on intervertebral discogenic cervical vertigo. Med. J. Chin. Peop. Armed Poli. Forc., 2021, 32(2): 140-144.
Stulin I D, Tardov M V, Kunelskaya N L, et al. Cervical vertigo: a neurologist's point of view[J]. Zh Nevrol Psikhiatr Im S S Korsakova, 2018,118(3): 97-102.
[4]
Tardov M V, Kunel’skaya N L, Baybakova E V, et al. Cervical vertigo from the perspective of an otorhinolaryngologist[J]. Vestn Otorinolaringol,2017,82(4): 72-76.
[5]
Li Y, Peng B. Pathogenesis, diagnosis, and treatment of cervical vertigo[J]. Pain Physician,2015,18(4): E583-E595.
[6]
Yang L, Yang C, Pang X,et al. Mechanoreceptors in diseased cervical intervertebral disc and vertigo[J]. Spine (Phila Pa 1976),2017,42(8): 540-546.
[7]
Binch A L A,Cole A A, Breakwell L M, et al. Nerves are more abundant than blood vessels in the degenerate human intervertebral disc[J].Arthritis Res Ther, 2015,21(17): 370.
[8]
Gu Q,Jiang D,Wang X, et al.Chronic compression of the posterior longitudinal ligament of the cervical spine is associated with abnormal discharge of middle cervical ganglion[J].Int J Clin Exp Med, 2014,7(11): 4316-4321.
[9]
Han J,Zuo J,Zhu D, et al. The correlation between SNPs within the gene of adrenergic receptor and neuropeptide Y and risk of cervical vertigo[J]. J Clin Lab Anal, 2018, 32(5): e22366.
[10]
Steilen D,Hauser R,Woldin B, et al. Chronic neck pain: making the connection between capsular ligament laxity and cervical instability[J].Open Orthop J, 2014, 8: 326-45.
[11]
Reddy R S,Reddy R S,Tedla J S, et al. Cervical proprioception and its relationship with neck pain intensity in subjects with cervical spondylosis[J]. BMC Musculoskelet Disord, 2019, 20(1): 447.
[12]
Sussman W I,Makovitch S A,Merchant S H, et al. Cervical angina: an overlooked source of noncardiac chest pain[J]. Neurohospitalist, 2015,5(1): 22-27.
[13]
Al Saif A A,Al Senany S. Determine the effect of neck muscle fatigue on dynamic visual acuity in healthy young adults[J]. J Phys Ther Sci, 2015,27(1): 259-63.
[14]
Thompson-Harvey A, Hain T C. Symptoms in cervical vertigo[J]. Laryngoscope Investig Otolaryngol,2018,4(1): 109-115.
[15]
Vasaghi-Gharamaleki B,Naser Z . Predicting the risk of hearing impairment following the cervical spine diseases by measuring the cervical range of movements: a pilot study[J]. Basic Clin Neurosci, 2017,8(5): 413-418.
[16]
Reiley A S, Vickory F M, Funderburg S E, et al. How to diagnose cervicogenic dizziness[J]. Arch Physiother,2017, 7: 12.
[17]
Grande-Alonso M, Moral Saiz B, Mínguez Zuazo A, et al . Biobehavioural analysis of the vestibular system and posture control in patients with cervicogenic dizziness. A cross-sectional study[J]. Neurologia,2018,33(2): 98-106.
[18]
Heikkil H, Johansson M, I Wenngren B. Effects of acupuncture, cervical manipulation and NSAID therapy on dizziness and impaired head repositioning of suspected cervical origin: a pilot study[J]. Man Ther, 2000, 5(3): 151-157.
[19]
L’Heureux-Lebeau B,Godbout A,Berbiche D,et al. Evaluation of paraclinical tests in the diagnosis of cervicogenic dizziness[J]. Otol Neurotol, 2014, 35(10):1858-1865.
[20]
Talebi R Z,Rezasoltani A,Khalkhalizavieh M,et al. Evaluation of cervical spine muscles thickness in patients with cervical vertigo and healthy controls through ultrasonography[J].J Phys Ther Sci, 2020, 32(7): 439-443.
[21]
Ohara K,Inoue Y,Sumi Y,et al. Oxidative stress and heart rate variability in patients with vertigo[J].Acute Med Surg, 2014, 2(3): 163-168.
[22]
Heikkil H, Johansson M, Wenngren B I. Effects of acupuncture, cervical manipulation and NSAID therapy on dizziness and impaired head repositioning of suspected cervical origin: a pilot study[J]. Man Ther,2000,5(3): 151-157.
[23]
Yin H D,Zhang X M,Huang M G, et al. Curative effect and mechanism of radiofrequency ablation nucleoplasty in the treatment of cervical vertigo[J]. Br J Radiol, 2017, 90(1072): 20150772.
[24]
Yang L, Yang C, Pang X, et al. Cervical decompression surgery for cervical spondylotic myelopathy and concomitant hypertension: a multicenter prospective cohort study[J].Spine (Phila Pa 1976),2017 ,42(12): 903-908.
2021, Vol. 32 
