Dru Alexander B, Lockney Dennis Timothy, Vaziri Sasha, Decker Matthew, Polifka Adam J, Fox W Christopher, Hoh Daniel J
Lillian S. Wells Department of Neurosurgery, University of Florida, Gainesville, FL, USA.
Neurospine. 2019 Sep;16(3):470-482. doi: 10.14245/ns.1938288.144. Epub 2019 Sep 30.
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.
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。
