Carolina Neurosurgery and Spine Associates, Atrium Health Musculoskeletal Institute, 225 Baldwin Avenue, Charlotte, NC 28204, USA; Atrium Health Musculoskeletal Institute, 1000 Blythe Boulevard, Charlotte, NC 28203, USA.
Carolina Neurosurgery and Spine Associates, Atrium Health Musculoskeletal Institute, 225 Baldwin Avenue, Charlotte, NC 28204, USA; Atrium Health Musculoskeletal Institute, 1000 Blythe Boulevard, Charlotte, NC 28203, USA.
Neurosurg Clin N Am. 2021 Oct;32(4):483-492. doi: 10.1016/j.nec.2021.05.005.
Three procedures dominate surgical management of degenerative cervical spine disorders: posterior cervical laminoforaminotomy (PCF), cervical total disc replacement (CTDR), and anterior cervical discectomy and fusion (ACDF). Together they provide a 360° approach to degenerative cervical spine disease that help surgeons reach the correct treatment decisions. ACDF, CTDR, and PCF are effective procedures for the treatment of a broad range of degenerative cervical disorders. Minimally invasive technique, outpatient setting, motion preservation, and adjacent segment disease should be taken into consideration in the surgical plan. All well-rounded spine surgeons should be skilled at both anterior and posterior approaches to treat radiculopathy.
颈椎后路椎板成形术（PCF）、颈椎全椎间盘置换术（CTDR）和颈椎前路椎间盘切除术和融合术（ACDF）。它们共同为退行性颈椎疾病提供了 360° 的治疗方法，有助于外科医生做出正确的治疗决策。ACDF、CTDR 和 PCF 是治疗广泛退行性颈椎疾病的有效方法。微创手术、门诊治疗、保留运动功能和邻近节段疾病应在手术计划中加以考虑。所有全面的脊柱外科医生都应该熟练掌握前路和后路手术，以治疗神经根病。
