Merrill Robert K, Clohisy John C, Albert Todd J, Qureshi Sheeraz A
Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY, USA.
Neurospine. 2023 Mar;20(1):221-230. doi: 10.14245/ns.2244780.390. Epub 2023 Mar 31.
Adult cervical spine deformity is associated with decreased health-related quality of life, disability, and myelopathy. A number of radiographic parameters help to characterize cervical deformity and aid in the diagnosis and treatment. There are several etiologies for cervical spine deformity, the most common being iatrogenic. Additionally, spine surgery can accelerate adjacent segment degeneration which may lead to deformity. It is therefore important for all spine surgeons to be aware of the potential to cause iatrogenic cervical deformity. The aim of this review is to highlight concepts and techniques to prevent cervical deformity after spine surgery.
成人颈椎畸形与健康相关生活质量下降、残疾和脊髓病有关。一些影像学参数有助于描述颈椎畸形,并辅助诊断和治疗。颈椎畸形有多种病因,最常见的是医源性的。此外,脊柱手术会加速相邻节段退变,这可能导致畸形。因此,所有脊柱外科医生都必须意识到造成医源性颈椎畸形的可能性。本综述的目的是强调预防脊柱手术后颈椎畸形的概念和技术。