Umebayashi Daisuke, Nagai Toshiki, Nishii Shou, Hashimoto Naoya
Department of Neurosurgery, Kyoto Prefectural University of Medicine Graduate School of Medical Science.
No Shinkei Geka. 2021 Nov;49(6):1211-1223. doi: 10.11477/mf.1436204508.
Currently, various posterior surgical techniques are available for cervical spondylotic myelopathy. These techniques include laminoplasty and laminectomy with or without fusion, and are often used in patients with multilevel cervical stenosis. They were developed with the intent to reduce the risk of complications such as injury to the spinal cord and nerve roots, C5 palsy, postlaminectomy membrane, and postoperative kyphosis. Posterior decompression for cervical spondylotic myelopathy is effective in improving neurological function in patients with appropriate surgical indications.
目前,对于脊髓型颈椎病有多种后路手术技术可供选择。这些技术包括椎板成形术和椎板切除术(有无融合),常用于多节段颈椎管狭窄患者。开发这些技术的目的是降低诸如脊髓和神经根损伤、C5麻痹、椎板切除术后硬膜外瘢痕形成以及术后脊柱后凸等并发症的风险。对于有适当手术指征的脊髓型颈椎病患者,后路减压可有效改善神经功能。