Quadros Danilo G, Guiroy Alfredo, Fontes Ricardo B V
Department of Neurosurgery, Hospital das Clinicas da Universidade de Sao Paulo, Sao Paulo, Brazil.
Department of Orthopedic Surgery, Hospital Espanol, Mendoza, Argentina.
J Spine Surg. 2020 Mar;6(1):280-289. doi: 10.21037/jss.2020.03.04.
Cervical deformity, particularly kyphosis, is frequently encountered in surgical practice. While many cases are asymptomatic, some patients may have significant pain and disability. We provide a brief review of the pathophysiology of cervical deformity and the technical aspects of deformity correction in the cervical spine. Anterior techniques reviewed here include anterior cervical discectomy and fusion (ACDF), anterior corpectomy and fusion (ACCF) and anterior osteotomy (ATO). Posterior techniques include laminectomy and fusion, posterior column osteotomy (PCO) and pedicle subtraction osteotomy (PSO). This is a fast-evolving field as our understanding of cervical deformity matures and longer-term surgical outcomes are available.
颈椎畸形，尤其是后凸畸形，在外科手术中经常遇到。虽然许多病例无症状，但一些患者可能有严重疼痛和功能障碍。我们简要回顾颈椎畸形的病理生理学以及颈椎畸形矫正的技术要点。本文回顾的前路技术包括颈椎前路椎间盘切除融合术（ACDF）、椎体次全切除融合术（ACCF）和前路截骨术（ATO）。后路技术包括椎板切除融合术、后柱截骨术（PCO）和椎弓根截骨术（PSO）。随着我们对颈椎畸形的认识不断成熟且有了更长期的手术结果，这是一个快速发展的领域。
