Department of Neurological Surgery, University of California, San Francisco, San Francisco, California.
Department of Neurosurgery, University of Virginia Health System, Charlottesville, Virginia.
Neurosurgery. 2021 Mar 15;88(4):864-883. doi: 10.1093/neuros/nyaa582.
Adult cervical deformity management is complex and is a growing field with many recent advancements. The cervical spine functions to maintain the position of the head and plays a pivotal role in influencing subjacent global spinal alignment and pelvic tilt as compensatory changes occur to maintain horizontal gaze. There are various types of cervical deformity and a variety of surgical options available. The major advancements in the management of cervical deformity have only been around for a few years and continue to evolve. Therefore, the goal of this article is to provide a comprehensive review of cervical alignment parameters, deformity classification, clinical evaluation, and surgical treatment of adult cervical deformity. The information presented here may be used as a guide for proper preoperative evaluation and surgical treatment in the adult cervical deformity patient.
成人颈椎畸形的治疗很复杂，是一个快速发展的领域，近年来有许多新进展。颈椎的功能是维持头部的位置，并在影响下位脊柱整体曲度和骨盆倾斜方面发挥关键作用，因为这些代偿性改变的发生是为了保持水平凝视。颈椎畸形有多种类型，也有多种手术方法可供选择。颈椎畸形治疗的主要进展仅出现了几年时间，而且还在不断发展。因此，本文的目的是全面回顾成人颈椎曲度参数、畸形分类、临床评估和手术治疗。这里提供的信息可以作为成人颈椎畸形患者术前评估和手术治疗的指南。
