Hillard Virany H, Apfelbaum Ronald I
Department of Neurosurgery, University of Utah School of Medicine, Salt Lake City, UT 84132, USA.
Spine J. 2006 Nov-Dec;6(6 Suppl):242S-251S. doi: 10.1016/j.spinee.2006.05.005.
Surgery is usually required for treatment of cervical myelopathy to decompress the neural elements, restore lordosis, and stabilize the spine. By addressing these problems, the neurological deterioration may be halted.
Multilevel cervical discectomy and fusion offers several advantages over other approaches. The authors describe the technique, discuss the indications, and present the potential complications associated with it.
Decompression is achieved via discectomy and subsequent removal of the osteophytes using a curetting technique. Preparation of end plates in a parallel fashion allows for gapless grafting of allograft bone for enhancement of fusion. A dynamic plate and screw system strengthens the construct.
A high rate of fusion can be obtained using the technique of multilevel cervical discectomy and fusion with acceptable levels of complications. It is especially useful in cases of spondylosis that have a kyphotic deformity because, in addition to anterior decompression, it allows reconstruction of the spine to help restore a lordotic curvature.
Multilevel cervical discectomy and fusion has proven to be very effective in decompressing and stabilizing the spine for treatment of cervical myelopathy.
治疗脊髓型颈椎病通常需要手术来减压神经组织、恢复前凸并稳定脊柱。通过解决这些问题，可阻止神经功能恶化。
多节段颈椎间盘切除融合术比其他方法具有多个优势。作者描述了该技术，讨论了适应证，并介绍了与之相关的潜在并发症。
通过椎间盘切除术并随后使用刮除技术去除骨赘来实现减压。以平行方式准备终板可实现同种异体骨的无缝隙移植以增强融合。动态钢板和螺钉系统加强了结构。
使用多节段颈椎间盘切除融合术可获得较高的融合率，并发症发生率在可接受范围内。它在伴有后凸畸形的颈椎病病例中特别有用，因为除了前路减压外，它还能重建脊柱以帮助恢复前凸曲线。
多节段颈椎间盘切除融合术已被证明在治疗脊髓型颈椎病时对脊柱减压和稳定非常有效。
