Department of Orthopedic Surgery, Columbia University Medical Center/New York Presbyterian Hospital, New York, New York.
Department of Neurosurgery, Rush University Medical Center, Chicago, Illinois.
Neurosurgery. 2017 Dec 1;81(6):893-898. doi: 10.1093/neuros/nyx477.
The goals of cervical deformity surgery include deformity correction, restoration of horizontal gaze, decompression of neural elements, spinal stabilization with a biomechanically sound construct, and meticulous arthrodesis technique to prevent pseudoarthrosis and minimizing surgical complications. Many different surgical options exist, but selecting the correct approach that ensures the optimal clinical outcome can be challenging and often controversial. In this last part of the cervical deformity review series, various posterior deformity correction techniques are discussed in detail, along with an overview of surgical outcome and postoperative complications.
颈椎畸形手术的目标包括畸形矫正、恢复水平凝视、减压神经结构、使用生物力学合理的结构稳定脊柱,以及精细的关节融合技术以预防假关节形成并将手术并发症最小化。有许多不同的手术选择,但选择能确保最佳临床效果的正确方法可能具有挑战性且往往存在争议。在颈椎畸形综述系列的最后一部分中,详细讨论了各种后路畸形矫正技术,并概述了手术结果和术后并发症。