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.
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。
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本文引用的文献
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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.
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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。
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