Obeid Ibrahim, Boissiere Louis, Bourghli Anouar
Clinique du Dos, Elsan Jean Villar Private Hospital, Bordeaux, France.
Orthopedic and Spinal Surgery Department, Kingdom Hospital, Riyadh, Saudi Arabia.
Neurospine. 2020 Sep;17(3):568-573. doi: 10.14245/ns.2040412.206. Epub 2020 Sep 30.
This study aims to describe the surgical management of cervical deformity arising from outside the cervical spine because of upper thoracic malalignment, using pedicle subtraction osteotomy (PSO). Cervical spine deformity is a complex topic and it can be generally divided into 2 categories, the first category is when the primary deformity is inside the cervical spine and the treatment will focus on the cervical spine itself, whereas the second category is when the primary deformity is outside the cervical spine usually in the adjacent upper thoracic area, the cervical deformity is a compensation for the adjacent malalignment, and thus in this situation, the management will occur in the upper thoracic area. Description of a single surgeon's technique for performing PSO to treat rigid upper thoracic deformity. PSO in the upper thoracic spine is a safe and effective procedure and can result in satisfying clinical and radiological outcome with indirect correction of the compensatory cervical deformity. Cervical deformity arising from upper thoracic malalignment should be dealt with by treating the problem at its origin outside the cervical spine by performing a PSO in the upper thoracic spine.
本研究旨在描述因上胸椎排列不齐导致颈椎外源性畸形的手术治疗方法，采用经椎弓根截骨术（PSO）。颈椎畸形是一个复杂的课题，一般可分为两类，第一类是原发性畸形位于颈椎内部，治疗将集中在颈椎本身，而第二类是原发性畸形位于颈椎外部，通常在相邻的上胸椎区域，颈椎畸形是对相邻排列不齐的一种代偿，因此在这种情况下，治疗将在上胸椎区域进行。描述一位外科医生进行PSO治疗僵硬性上胸椎畸形的技术。上胸椎经椎弓根截骨术是一种安全有效的手术，通过间接矫正代偿性颈椎畸形，可取得令人满意的临床和影像学效果。因上胸椎排列不齐引起的颈椎畸形应通过在上胸椎进行PSO来处理颈椎外源性的问题根源。
