Hemmer Christopher
Christopher Hemmer, DNP, ANP, Assistant Professor, Saint Louis University School of Nursing, St Louis, MO; and V. P. Piper Spine Care, St Peters, MO.
Orthop Nurs. 2018 Nov/Dec;37(6):348-354. doi: 10.1097/NOR.0000000000000498.
Cervical spine complaints are routinely evaluated in the office and urgent care facilities. Many of these complaints will resolve with conservative modalities. However, when operative intervention is necessary for nontraumatic pathology, recognition of pre-, intra-, and postoperative complications is imperative. This article reviews basic anatomy and surgical anatomy of the cervical spine. The common surgical approaches to the cervical spine as well complications that can occur from an anterior and posterior perspective are discussed. Cervical spine surgery when used in the appropriate clinical scenarios can be very successful. It is important to remember that risk reduction begins prior to the surgery with appropriate planning, identification of any anatomical anomalies, and adequate preparation.
颈椎疾病通常在门诊和紧急护理机构进行评估。这些疾病中的许多都可以通过保守治疗方法得到解决。然而,当非创伤性病变需要手术干预时,识别术前、术中和术后并发症至关重要。本文回顾了颈椎的基本解剖结构和手术解剖结构。讨论了颈椎常见的手术入路以及从前后视角可能出现的并发症。在适当的临床情况下使用颈椎手术可能会非常成功。重要的是要记住,风险降低始于手术前的适当规划、识别任何解剖异常以及充分准备。