Butler J C, Whitecloud T S
Department of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, Louisiana.
Orthop Clin North Am. 1992 Jul;23(3):505-11.
Postlaminectomy instability of the cervical spine can be managed either anteriorly or posteriorly. The posterior procedures that have been described are best performed at the time of the original decompressive procedure. Thus, the development of a kyphotic deformity is prevented. Generally, it is technically easier to achieve anterior stabilization and arthrodesis if a postlaminectomy kyphosis develops.
颈椎椎板切除术后不稳定可通过前路或后路进行处理。已描述的后路手术最好在初次减压手术时进行。这样可防止后凸畸形的发生。一般来说,如果发生了椎板切除术后后凸畸形,前路稳定和关节融合在技术上更容易实现。