脊髓型颈椎病的环形手术指征。
Indications for circumferential surgery for cervical spondylotic myelopathy.
作者信息
Kim Paul K, Alexander Joseph T
机构信息
Department of Neurosurgery, Wake Forest University Baptist Medical Center, Winston-Salem, NC 27157, USA.
出版信息
Spine J. 2006 Nov-Dec;6(6 Suppl):299S-307S. doi: 10.1016/j.spinee.2006.04.025.
BACKGROUND CONTEXT
The surgical management of patients with cervical spondylotic myelopathy (CSM) remains challenging.
PURPOSE
To review the indications, techniques, and results of circumferential fusion for CSM.
CONCLUSION
Circumferential decompression and stabilization with instrumentation is a viable option to treat selected complex cervical spine disorders. It provides immediate stabilization of the spine, decreases anterior graft and instrumentation failure, and can obviate the need for postoperative halo immobilization.
背景
脊髓型颈椎病（CSM）患者的手术治疗仍然具有挑战性。
目的
回顾脊髓型颈椎病环形融合术的适应症、技术及结果。
结论
采用器械进行环形减压和稳定术是治疗某些复杂颈椎疾病的可行选择。它能立即稳定脊柱，减少前路植骨和器械失败的情况，并且无需术后使用头环固定。
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