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颈椎椎板切除术及器械辅助下侧块融合术:技术、要点与陷阱

Cervical laminectomy and instrumented lateral mass fusion: techniques, pearls and pitfalls.

作者信息

Mayer Michael, Meier Oliver, Auffarth Alexander, Koller Heiko

机构信息

German Scoliosis Center. Werner-Wicker-Clinic Bad Wildungen, Im Kreuzfeld 4, 34537, Bad Wildungen, Germany,

出版信息

Eur Spine J. 2015 Apr;24 Suppl 2:168-85. doi: 10.1007/s00586-013-2838-x. Epub 2013 May 29.

Abstract

INTRODUCTION

Cervical laminectomy is a reliable tool for posterior decompression in various cervical spine pathologies. Although there is increasing evidence of superior clinical, neurological and radiological outcomes when using anterior cervical decompression, laminectomy can be a valuable tool when combined with instrumented lateral mass fusion for carefully selected indications.

METHODS

Literature review.

RESULTS

This review article will provide decision-making guidance, technical advice and pitfalls. The technical advice for laminectomy and instrumented lateral mass fusion is illustrated. The authors review the literature on outcomes and complications and suggest indications for the safe and successful application of cervical laminectomy and lateral mass fusion.

摘要

引言

颈椎椎板切除术是治疗各种颈椎疾病进行后路减压的可靠方法。尽管越来越多的证据表明,颈椎前路减压在临床、神经功能和影像学方面的效果更佳,但对于经过精心挑选的适应症,椎板切除术与器械辅助下的侧块融合术联合使用时,仍可成为一种有价值的方法。

方法

文献综述。

结果

本文献综述将提供决策指导、技术建议及注意事项。文中阐述了椎板切除术和器械辅助下侧块融合术的技术建议。作者回顾了有关手术效果和并发症的文献,并提出了安全成功实施颈椎椎板切除术和侧块融合术的适应症。

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