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1
Single level cervical fusion by an anterior approach using autologous bone graft influences the adjacent levels degenerative changes: clinical and radiographic results at 10-year minimum follow-up.前路使用自体骨移植行单节段颈椎融合术对邻近节段退变的影响：10 年最低随访的临床和影像学结果。
Eur Spine J. 2012 May;21 Suppl 1(Suppl 1):S90-3. doi: 10.1007/s00586-012-2215-1. Epub 2012 Mar 10.
2
Comparison of anterior cervical fusion after two-level discectomy or single-level corpectomy: sagittal alignment, cervical lordosis, graft collapse, and adjacent-level ossification.两种手术方式（两节段椎间盘切除术或单节段椎体次全切除术）治疗颈椎间盘疾病后颈椎融合的比较：矢状位曲度、颈椎前凸度、移植物塌陷及临近节段骨化。
Spine J. 2010 Mar;10(3):193-9. doi: 10.1016/j.spinee.2009.09.006. Epub 2009 Oct 21.
3
Sagittal segmental alignment as predictor of adjacent-level degeneration after a cloward procedure.后路颈椎椎体间融合术后矢状位节段性排列与邻近节段退变的相关性研究
Clin Orthop Relat Res. 2011 Mar;469(3):674-81. doi: 10.1007/s11999-010-1614-z.
4
Cervical disc herniation and cervical spondylosis surgically treated by Cloward procedure: a 10-year-minimum follow-up study.经 Cloward 手术治疗的颈椎间盘突出症和颈椎病：10 年最低随访研究。
J Orthop Traumatol. 2010 Jun;11(2):99-103. doi: 10.1007/s10195-010-0093-z. Epub 2010 Jun 9.
5
Single-level anterior cervical discectomy and interbody fusion using PEEK anatomical cervical cage and allograft bone.采用 PEEK 解剖型颈椎融合器和同种异体骨行单节段前路颈椎间盘切除融合术。
J Orthop Traumatol. 2011 Dec;12(4):201-5. doi: 10.1007/s10195-011-0169-4. Epub 2011 Nov 17.
6
Cervical alignment after single-level anterior cervical corpectomy and fusion using autologous bone graft without spinal instrumentation for cervical pyogenic spondylitis.颈椎化脓性脊柱炎一期前路单开门颈椎椎体次全切融合术应用自体骨植骨融合术后颈椎曲度的变化。
Eur J Orthop Surg Traumatol. 2020 Apr;30(3):479-484. doi: 10.1007/s00590-019-02594-1. Epub 2019 Nov 9.
7
Factors affecting sagittal malalignment due to cage subsidence in standalone cage assisted anterior cervical fusion.独立椎间融合器辅助下颈椎前路融合术中椎间融合器下沉导致矢状面排列不齐的相关影响因素
Eur Spine J. 2007 Sep;16(9):1395-400. doi: 10.1007/s00586-006-0284-8. Epub 2007 Jan 13.
8
Radiographic and clinical outcomes following single-level anterior cervical discectomy and allograft fusion without plate placement or cervical collar.单节段颈椎前路椎间盘切除及同种异体骨融合且未使用钢板固定或佩戴颈托后的影像学和临床结果
J Neurosurg Spine. 2008 May;8(5):420-8. doi: 10.3171/SPI/2008/8/5/420.
9
Cage subsidence does not, but cervical lordosis improvement does affect the long-term results of anterior cervical fusion with stand-alone cage for degenerative cervical disc disease: a retrospective study. cage 沉降不会，但颈椎前凸改善会影响退行性颈椎间盘疾病前路融合单用 cage 的长期结果：一项回顾性研究。
Eur Spine J. 2012 Jul;21(7):1374-82. doi: 10.1007/s00586-011-2131-9. Epub 2011 Dec 29.
10
Clinical adjacent-segment pathology after anterior cervical discectomy and fusion: results after a minimum of 10-year follow-up.颈椎前路椎间盘切除融合术后的临床相邻节段病变：至少10年随访结果
Spine J. 2014 Oct 1;14(10):2290-8. doi: 10.1016/j.spinee.2014.01.027. Epub 2014 Jan 23.

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1
Zero-Profile Stand-Alone Cages Versus Traditional Cage-and-Plate Constructs in Single and Multi-Level Anterior Cervical Discectomy and Fusion: A Propensity-Matched Analysis Using Validated Fusion Assessment Methods.单节段和多节段颈椎前路椎间盘切除融合术中零轮廓独立椎间融合器与传统椎间融合器加钢板固定装置的比较：一项使用经验证的融合评估方法的倾向匹配分析
Global Spine J. 2025 Apr 14:21925682251329228. doi: 10.1177/21925682251329228.
2
The effect of cage type on local and total cervical lordosis restoration and global spine alignment in single-level anterior cervical discectomy and fusion based on EOS imaging: A comparison between standalone conventional interbody polyether ether ketone cage and integrated cage and plate (Perfect-C).基于EOS成像技术，比较独立的传统椎间聚醚醚酮融合器与一体化融合器及钢板（Perfect-C）在单节段颈椎前路椎间盘切除融合术中，融合器类型对局部及整体颈椎前凸恢复和全脊柱排列的影响。
J Craniovertebr Junction Spine. 2023 Oct-Dec;14(4):399-403. doi: 10.4103/jcvjs.jcvjs_108_23. Epub 2023 Nov 29.
3
Do the Choice of Fusion Construct With and Without Autograft Influence the Fusion and Complication Rates in Patients Undergoing 1 or 2-Level Anterior Cervical Discectomy and Fusion Surgery? A PRISMA-Compliant Network Meta-Analysis.使用或不使用自体骨移植的融合结构选择是否会影响接受单节段或双节段颈椎前路椎间盘切除融合手术患者的融合率和并发症发生率？一项符合PRISMA标准的网状Meta分析。
Global Spine J. 2024 Feb;14(2_suppl):59S-69S. doi: 10.1177/21925682231154488. Epub 2023 Feb 1.
4
Anterior cervical corpectomy and fusion with stand-alone cages in patients with multilevel degenerative cervical spine disease is safe.前路颈椎椎体次全切除融合术联合使用独立 cage 治疗多节段退行性颈椎病是安全的。
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6
Cervical alignment after single-level anterior cervical corpectomy and fusion using autologous bone graft without spinal instrumentation for cervical pyogenic spondylitis.颈椎化脓性脊柱炎一期前路单开门颈椎椎体次全切融合术应用自体骨植骨融合术后颈椎曲度的变化。
Eur J Orthop Surg Traumatol. 2020 Apr;30(3):479-484. doi: 10.1007/s00590-019-02594-1. Epub 2019 Nov 9.
7
Integral Fixation Titanium/Polyetheretherketone Cages for Cervical Arthrodesis: Evolution of Cage Design and Early Radiological Outcomes and Fusion Rates.用于颈椎融合术的一体化固定钛/聚醚醚酮椎间融合器：椎间融合器设计的演变、早期影像学结果及融合率
Orthop Surg. 2019 Feb;11(1):52-59. doi: 10.1111/os.12413. Epub 2019 Jan 6.
8
Single level anterior cervical discectomy and interbody fusion.单节段颈椎前路椎间盘切除及椎间融合术
Eur Spine J. 2017 Sep;26(Suppl 3):423-424. doi: 10.1007/s00586-017-5271-8.
9
Adjacent Segment Pathology after Anterior Cervical Fusion.颈椎前路融合术后相邻节段病变
Asian Spine J. 2016 Jun;10(3):582-92. doi: 10.4184/asj.2016.10.3.582. Epub 2016 Jun 16.
10
Titanium/Polyetheretherketone Cages for Cervical Arthrodesis with Degenerative and Traumatic Pathologies: Early Clinical Outcomes and Fusion Rates.用于治疗颈椎退变和创伤性疾病的钛/聚醚醚酮椎间融合器：早期临床疗效及融合率
Orthop Surg. 2016 Feb;8(1):19-26. doi: 10.1111/os.12221.

本文引用的文献

1
Sagittal segmental alignment as predictor of adjacent-level degeneration after a cloward procedure.后路颈椎椎体间融合术后矢状位节段性排列与邻近节段退变的相关性研究
Clin Orthop Relat Res. 2011 Mar;469(3):674-81. doi: 10.1007/s11999-010-1614-z.
2
Cervical disc herniation and cervical spondylosis surgically treated by Cloward procedure: a 10-year-minimum follow-up study.经 Cloward 手术治疗的颈椎间盘突出症和颈椎病：10 年最低随访研究。
J Orthop Traumatol. 2010 Jun;11(2):99-103. doi: 10.1007/s10195-010-0093-z. Epub 2010 Jun 9.
3
Cervical spinal disc replacement.颈椎间盘置换术。
J Bone Joint Surg Br. 2009 Jun;91(6):713-9. doi: 10.1302/0301-620X.91B6.22025.
4
Stabilization of the cervical spine by anterior fusion.前路融合术治疗颈椎稳定
J Bone Joint Surg Am. 1960 Jun;42-A:565-94.
5
The anterior approach for removal of ruptured cervical disks.切除破裂颈椎间盘的前路手术。
J Neurosurg. 1958 Nov;15(6):602-17. doi: 10.3171/jns.1958.15.6.0602.
6
Cervical disk lesions.颈椎间盘病变
J Am Med Assoc. 1958 Jan 4;166(1):23-8. doi: 10.1001/jama.1958.02990010025006.
7
A prospective randomized comparison between the cloward procedure and a carbon fiber cage in the cervical spine: a clinical and radiologic study.颈椎Cloward手术与碳纤维椎间融合器的前瞻性随机对照研究：一项临床与影像学研究
Spine (Phila Pa 1976). 2002 Aug 15;27(16):1694-701. doi: 10.1097/00007632-200208150-00003.
8
Rigid fusion after cloward operation for cervical disc disease using autograft, allograft, or xenograft: a randomized study with radiostereometric and clinical follow-up assessment.采用自体移植、同种异体移植或异种移植进行颈椎间盘疾病Cloward手术后的刚性融合：一项采用放射立体测量和临床随访评估的随机研究
Spine (Phila Pa 1976). 2000 Aug 1;25(15):1908-16. doi: 10.1097/00007632-200008010-00008.
9
Anterior discectomy and fusion for the management of neck pain.前路椎间盘切除术及融合术治疗颈部疼痛。
Spine (Phila Pa 1976). 1999 Nov 1;24(21):2224-8. doi: 10.1097/00007632-199911010-00009.
10
Robinson anterior cervical discectomy and arthrodesis for cervical radiculopathy. Long-term follow-up of one hundred and twenty-two patients.罗宾逊前路颈椎间盘切除及融合术治疗神经根型颈椎病。122例患者的长期随访
J Bone Joint Surg Am. 1993 Sep;75(9):1298-307. doi: 10.2106/00004623-199309000-00005.

前路使用自体骨移植行单节段颈椎融合术对邻近节段退变的影响：10 年最低随访的临床和影像学结果。

Single level cervical fusion by an anterior approach using autologous bone graft influences the adjacent levels degenerative changes: clinical and radiographic results at 10-year minimum follow-up.

机构信息

Istituto Ortopedico Rizzoli, University of Bologna, Via Pupilli 1, 40136 Bologna, Italy.

出版信息

Eur Spine J. 2012 May;21 Suppl 1(Suppl 1):S90-3. doi: 10.1007/s00586-012-2215-1. Epub 2012 Mar 10.

DOI:10.1007/s00586-012-2215-1
PMID:22407262
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3325391/
Abstract

INTRODUCTION

Cervical degenerative pathology can produce pain and disability and, in case of failure of conservative treatment surgery is indicated.

MATERIALS AND METHODS

107 patients affected by single level cervical degenerative pathology were surgically treated by Cloward procedure. On radiographs, the sagittal segmental alignment (SSA) of the affected level and sagittal alignment of the cervical spine were measured.

RESULTS

Preoperatively, mean SSA was 0.6° and at the last follow-up 1.8°. In particular, adjacent-level degeneration occurred more frequently in Group A than in Group B.

CONCLUSION

Lordotic SSA angle can be considered a protective factor against adjacent-level degeneration.

摘要

简介

颈椎退行性病变可引起疼痛和残疾，在保守治疗失败的情况下，手术是指征。

材料与方法

107 例单节段颈椎退行性病变患者接受 Cloward 手术治疗。在影像学上，测量病变节段的矢状位节段排列（SSA）和颈椎的矢状位排列。

结果

术前 SSA 平均为 0.6°，末次随访时为 1.8°。特别是 A 组比 B 组更容易发生相邻节段退变。

结论

前凸 SSA 角可被视为预防相邻节段退变的保护因素。