Rajakumar Deshpande, Sharma Ankit, Hari Akshay, Konar Subhas, Krishna Murali
Neurosurg Focus. 2017 Jan;42(VideoSuppl1):V1. doi: 10.3171/2017.1.FocusVid.16376.
Cervical arthroplasty is being recognized as an emerging alternative to anterior cervical fusion with comparable or superior outcomes. The authors describe the surgical nuances of 2-level cervical arthroplasty in a case of 2-level degenerative disease. In this surgical technique, conventional vertebral body distraction has been avoided to prevent facet distraction, which can be a cause of persistent postoperative neck pain. Good motion preservation was observed at the 1-year follow-up examination. The video can be found here: https://youtu.be/YTpRVRXuZZk .
颈椎置换术正被视为一种新兴的替代前路颈椎融合术的方法，其疗效相当或更优。作者描述了在一例双节段退行性疾病中双节段颈椎置换术的手术细节。在这种手术技术中，避免了传统的椎体撑开以防止小关节撑开，因为小关节撑开可能是术后颈部持续疼痛的原因。在1年的随访检查中观察到了良好的活动度保留。视频可在此处找到：https://youtu.be/YTpRVRXuZZk 。
