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两种用于多节段脊髓型颈椎病的椎板成形术。

Two types of laminoplasty for cervical spondylotic myelopathy at multiple levels.

作者信息

Hirabayashi Shigeru, Matsushita Takashi

机构信息

Department of Orthopaedic Surgery, Teikyo University Hospital, 11-1, Kaga-2-Chome, Itabashi, Tokyo 173-8605, Japan.

出版信息

ISRN Orthop. 2011 Sep 7;2011:637185. doi: 10.5402/2011/637185. eCollection 2011.

DOI:10.5402/2011/637185
PMID:24977066
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4063130/
Abstract

Based on the results from pathological analysis and computer simulations by means of finite element analysis that were reported before, the pathological changes of cervical spondylotic myelopathy (CSM) seem to begin at the posterolateral parts of the spinal cord, because the mechanical stress is mainly concentrated in these parts. With progression of the compression, the pathological changes become distributed to a wider area of the spinal cord. In patients with spinal canal stenosis, these changes spread to multiple levels of the cervical spine. Therefore, posterior decompression surgery at multiple levels such as cervical laminoplasty is thought to be reasonable.

摘要

基于之前报道的病理分析结果以及通过有限元分析进行的计算机模拟，脊髓型颈椎病（CSM）的病理变化似乎始于脊髓的后外侧部分，因为机械应力主要集中在这些部位。随着压迫的进展，病理变化会扩散到脊髓更广泛的区域。在椎管狭窄的患者中，这些变化会蔓延至颈椎的多个节段。因此，诸如颈椎椎板成形术等多节段的后路减压手术被认为是合理的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e20/4063130/7ddf1c322629/ISRN.ORTHOPEDICS2011-637185.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e20/4063130/acc768f4cf7a/ISRN.ORTHOPEDICS2011-637185.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e20/4063130/c2205f381f72/ISRN.ORTHOPEDICS2011-637185.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e20/4063130/cb12de9098d2/ISRN.ORTHOPEDICS2011-637185.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e20/4063130/52bfb96ab0b7/ISRN.ORTHOPEDICS2011-637185.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e20/4063130/d346dd268a42/ISRN.ORTHOPEDICS2011-637185.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e20/4063130/7ddf1c322629/ISRN.ORTHOPEDICS2011-637185.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e20/4063130/acc768f4cf7a/ISRN.ORTHOPEDICS2011-637185.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e20/4063130/c2205f381f72/ISRN.ORTHOPEDICS2011-637185.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e20/4063130/cb12de9098d2/ISRN.ORTHOPEDICS2011-637185.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e20/4063130/52bfb96ab0b7/ISRN.ORTHOPEDICS2011-637185.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e20/4063130/d346dd268a42/ISRN.ORTHOPEDICS2011-637185.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e20/4063130/7ddf1c322629/ISRN.ORTHOPEDICS2011-637185.006.jpg

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本文引用的文献

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Occipitocervicothoracic fixation using a hook and rod system for patients with rheumatoid cervical spine.采用钩棒系统行枕颈胸固定术治疗类风湿性颈椎病变患者。
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近期颈椎双开门椎板成形术的手术方法（黑川法）
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