Zuckerman Scott L, Devin Clinton J
Department of Neurosurgery, Vanderbilt University Medical Center, Nashville, TN.
Department of Orthopedic Surgery, Columbia University Medical Center, New York, NY.
Clin Spine Surg. 2022 Apr 1;35(3):97-106. doi: 10.1097/BSD.0000000000001259.
Pseudarthrosis of the cervical spine represents a common and challenging problem for spine surgeons. Rates vary greatly from as low as 0%-20% to >60% and depend heavily on patient factors, approach, and number of levels. While some patients remain asymptomatic from pseudarthrosis, many require revision surgery due to instability, continued neck pain, or radiculopathy/myelopathy. We aimed to provide a practical, narrative review of cervical pseudarthrosis to address the following areas: (1) definitions, (2) incidence, (3) risk factors, (4) presentation and workup, (5) treatment decision-making, and (6) postoperative care. It is our hope the current review provides a concise summary for how to diagnose and treat challenging cervical nonunions.
颈椎假关节形成是脊柱外科医生面临的常见且具有挑战性的问题。其发生率差异很大，低至0%-20%，高至>60%，且很大程度上取决于患者因素、手术入路和手术节段数量。虽然一些患者的颈椎假关节形成没有症状，但许多患者因不稳定、持续的颈部疼痛或神经根病/脊髓病而需要翻修手术。我们旨在对颈椎假关节形成进行实用的叙述性综述，以探讨以下方面：（1）定义，（2）发病率，（3）危险因素，（4）临床表现及检查，（5）治疗决策，以及（6）术后护理。我们希望本综述能为如何诊断和治疗具有挑战性的颈椎骨不连提供简要总结。
