Koller H, Hartmann S
Wirbelsäulen- und Skoliosezentrum Vogtareuth, Schön Klinik Vogtareuth, Krankenhausstraße 20, 83569, Vogtareuth, Deutschland.
Department für Neurochirurgie, Universitätsklinik Innsbruck, 90763, Innsbruck, Österreich.
Orthopade. 2018 Jun;47(6):505-517. doi: 10.1007/s00132-018-3564-1.
Surgical correction of severe and rigid cervical kyphosis with chin-on-chest deformity poses significant challenges to both the patient and surgeon once surgery is considered as the treatment of choice.
This article presents the current concepts of corrective surgery for patients with severe and rigid cervical kyphosis.
Narrative review and report of clinical experience.
The treatment of severe cervical kyphosis indicates a dedicated deformity assessment, the analysis of regional and global imbalance, the identification of spinal sagittal plane compensation mechanisms, detailed radiographic and clinical planning of corrective surgery, and the meticulous performance of surgical correction. Most recent large-scale studies serve as evidence for the benefit of surgical correction and outline the complications that need to be targeted during and after surgery.
Surgical correction of severe cervical kyphosis can be a pleasant and life-changing event for the disabled patient.
一旦将手术视为首选治疗方法，对于患有严重僵硬性颈椎后凸伴胸贴下巴畸形的患者进行手术矫正，对患者和外科医生来说都极具挑战。
本文介绍了严重僵硬性颈椎后凸患者矫正手术的当前概念。
叙述性综述及临床经验报告。
严重颈椎后凸的治疗需要进行专门的畸形评估、分析局部和整体失衡、识别脊柱矢状面代偿机制、进行详细的影像学和矫正手术临床规划，以及精心实施手术矫正。最近的大规模研究证明了手术矫正的益处，并概述了手术期间及术后需要关注的并发症。
严重颈椎后凸的手术矫正对于残疾患者而言可能是一件令人满意且改变生活的事情。
