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颈椎畸形矫正技术

Cervical Spine Deformity Correction Techniques.

作者信息

Dru Alexander B, Lockney Dennis Timothy, Vaziri Sasha, Decker Matthew, Polifka Adam J, Fox W Christopher, Hoh Daniel J

机构信息

Lillian S. Wells Department of Neurosurgery, University of Florida, Gainesville, FL, USA.

出版信息

Neurospine. 2019 Sep;16(3):470-482. doi: 10.14245/ns.1938288.144. Epub 2019 Sep 30.

DOI:10.14245/ns.1938288.144
PMID:31607079
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6790735/
Abstract

Cervical kyphotic deformity can be a debilitating condition with symptoms ranging from mechanical neck pain, radiculopathy, and myelopathy to impaired swallowing and horizontal gaze. Surgical correction of cervical kyphosis has the potential to halt progression of neurological and clinical deterioration and even restore function. There are various operative approaches and deformity correction techniques. Choosing the optimal strategy is predicated on a fundamental understanding of spine biomechanics. Preoperative characterization of cervical malalignment, assessment of deformity rigidity, and defining postoperative clinical and radiographic objectives are paramount to formulating a surgical plan that balances clinical benefit with morbidity. This review of cervical deformity treatment provides an overview of the biomechanics of cervical kyphosis, radiographic classification, algorithm-based management, surgical techniques, and current surgical outcome studies.

摘要

颈椎后凸畸形可能是一种使人衰弱的病症，其症状范围从机械性颈部疼痛、神经根病、脊髓病到吞咽障碍和水平凝视受损。颈椎后凸的手术矫正有可能阻止神经功能和临床状况的恶化进展，甚至恢复功能。有多种手术入路和畸形矫正技术。选择最佳策略基于对脊柱生物力学的基本理解。术前对颈椎排列不齐的特征描述、畸形僵硬程度的评估以及确定术后临床和影像学目标，对于制定平衡临床益处与发病率的手术计划至关重要。这篇关于颈椎畸形治疗的综述概述了颈椎后凸的生物力学、影像学分类、基于算法的管理、手术技术以及当前的手术结果研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77cd/6790735/45b64f63f3f9/ns-1938288-144f10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77cd/6790735/339832387195/ns-1938288-144f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77cd/6790735/f1228473d953/ns-1938288-144f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77cd/6790735/a74962f8aa57/ns-1938288-144f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77cd/6790735/35e12f04a534/ns-1938288-144f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77cd/6790735/cb67e9f9da08/ns-1938288-144f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77cd/6790735/9a492b51909f/ns-1938288-144f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77cd/6790735/58251282a5c3/ns-1938288-144f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77cd/6790735/2123b4cc980d/ns-1938288-144f8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77cd/6790735/6000860ad0d8/ns-1938288-144f9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77cd/6790735/45b64f63f3f9/ns-1938288-144f10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77cd/6790735/339832387195/ns-1938288-144f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77cd/6790735/f1228473d953/ns-1938288-144f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77cd/6790735/a74962f8aa57/ns-1938288-144f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77cd/6790735/35e12f04a534/ns-1938288-144f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77cd/6790735/cb67e9f9da08/ns-1938288-144f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77cd/6790735/9a492b51909f/ns-1938288-144f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77cd/6790735/58251282a5c3/ns-1938288-144f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77cd/6790735/2123b4cc980d/ns-1938288-144f8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77cd/6790735/6000860ad0d8/ns-1938288-144f9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77cd/6790735/45b64f63f3f9/ns-1938288-144f10.jpg

相似文献

[1]
Cervical Spine Deformity Correction Techniques.

Neurospine. 2019-9

[2]
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[3]
[Correction of kyphotic deformity of the cervical spine in ankylosing spondylitis using pedicle subtraction osteotomy of the seventh cervical vertebra].

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[4]
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[5]
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J Neurosurg Spine. 2011-10-28

[6]
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J Neurosurg Spine. 2010-12

[7]
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[8]
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[9]
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Neurol Med Chir (Tokyo). 2015

[10]
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引用本文的文献

[1]
Risk factors associated with distal junctional kyphosis and failure after surgical management of adult cervical deformity: a systematic review.

Eur Spine J. 2025-7-1

[2]
Biomechanical Changes in Kyphotic Cervical Spine After Anterior Cervical Discectomy and Fusion with Different Degrees of Correction.

Bioengineering (Basel). 2025-2-20

[3]
A stacking ensemble machine learning model for predicting postoperative axial pain intensity in patients with degenerative cervical myelopathy.

Sci Rep. 2025-3-22

[4]
Vertebral Column Decancellation for Correcting Cervicothoracic Kyphotic Deformity in Patients With Ankylosing Spondylitis.

Orthop Surg. 2025-3

[5]
The Potential Effects of Diffuse Scleroderma in a Patient With Cervical Kyphosis.

Cureus. 2024-7-10

[6]
Expectations of clinical improvement following corrective surgery for adult cervical deformity based on functional disability at presentation.

Spine Deform. 2024-9

[7]
Comparison of the Effects of Posterior Cervical Fixation or Posterior Cervical Fixation Extending to the Upper Thoracic Region on Cervical Sagittal Alignment.

Orthop Surg. 2024-10

[8]
Does Focal Kyphotic Deformity at Non-responsible Levels Affect the Outcomes of Anterior Cervical Decompression and Fusion?

Orthop Surg. 2024-6

[9]
Current Concepts of Cervical Spine Alignment, Sagittal Deformity, and Cervical Spine Surgery.

J Clin Med. 2024-2-20

[10]
Optimizing Surgical Strategy for Cervical Spinal Deformity: Global Alignment and Surgical Targets.

Neurospine. 2023-12

本文引用的文献

[1]
Novel radiographic parameters for the assessment of total body sagittal alignment in adult spinal deformity patients.

J Neurosurg Spine. 2019-5-24

[2]
Predictive model for distal junctional kyphosis after cervical deformity surgery.

Spine J. 2018-4-27

[3]
Prospective Multicenter Assessment of All-Cause Mortality Following Surgery for Adult Cervical Deformity.

Neurosurgery. 2018-12-1

[4]
Outcomes of Operative Treatment for Adult Cervical Deformity: A Prospective Multicenter Assessment With 1-Year Follow-up.

Neurosurgery. 2018-11-1

[5]
Analysis of Successful Versus Failed Radiographic Outcomes After Cervical Deformity Surgery.

Spine (Phila Pa 1976). 2018-7-1

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Cervical Spine Deformity-Part 3: Posterior Techniques, Clinical Outcome, and Complications.

Neurosurgery. 2017-12-1

[7]
Cervical Spine Deformity-Part 2: Management Algorithm and Anterior Techniques.

Neurosurgery. 2017-10-1

[8]
Cervical Spine Deformity-Part 1: Biomechanics, Radiographic Parameters, and Classification.

Neurosurgery. 2017-8-1

[9]
Anterior cervical osteotomy: operative technique.

Eur Spine J. 2018-2

[10]
Complications of Anterior and Posterior Cervical Spine Surgery.

Asian Spine J. 2016-4

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