Hilibrand Alan, Smith Jeremy S
Thomas Jefferson University Hospital, Philadelphia, PA, USA.
Instr Course Lect. 2012;61:451-9.
Anterior cervical decompression and fusion is one of the most commonly used procedures to treat myelopathy and radiculopathy. With the addition of the surgical microscope, enhanced visualization of the microanatomy has allowed the safe and efficient treatment of compressive pathology. It is important to understand the critical steps required to successfully treat cervical spine pathology from an anterior approach with the assistance of a surgical microscope, the factors involved in choosing a decompressive method, the technical considerations for intervertebral grafting, and the use of cervical plating. The knowledge of surgical pearls may optimize spinal cord and nerve root decompression, increase fusion rates, and give patients the best chance for a successful clinical outcome.
颈椎前路减压融合术是治疗脊髓病和神经根病最常用的手术方法之一。随着手术显微镜的应用，对微观解剖结构的可视化增强，使得对压迫性病变能够进行安全有效的治疗。了解在手术显微镜辅助下从前方入路成功治疗颈椎疾病所需的关键步骤、选择减压方法时涉及的因素、椎间植骨的技术要点以及颈椎前路钢板的使用非常重要。掌握手术技巧可能会优化脊髓和神经根减压效果、提高融合率，并为患者带来取得成功临床结果的最佳机会。
