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颈椎前路入路

Anterior approach to the cervical spine.

作者信息

Jain K K

出版信息

Can Med Assoc J. 1974 Jul 6;111(1):49-50.

PMID:4841239
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1947561/
Abstract

The anterior approach to surgical treatment of disorders of the cervical spine is described, and the technique and advantages are outlined. A series of 66 patients who underwent 75 procedures is reported. The follow-up period ranged from one to five years. Good to excellent results were obtained with 91% of the operations for disc disease, and good results in all cases of fracture-dislocation. Adequate relief of pain was obtained with anterolateral cordotomy in two patients with malignant disease. Only minor complications were encountered; these were easily corrected or cleared up spontaneously. This approach is recommended in preference to the posterior approach for disc disease and fracture-dislocations of the cervical spine.

摘要

描述了颈椎疾病手术治疗的前路方法,并概述了该技术及其优点。报告了一组66例患者接受了75次手术。随访期为1至5年。椎间盘疾病手术的91%取得了良好至优秀的结果,骨折脱位的所有病例均取得了良好的结果。两名恶性疾病患者通过前外侧脊髓切开术获得了充分的疼痛缓解。仅出现了轻微并发症;这些并发症很容易纠正或自行消除。对于颈椎间盘疾病和骨折脱位,推荐采用这种方法而非后路方法。

相似文献

1
Anterior approach to the cervical spine.颈椎前路入路
Can Med Assoc J. 1974 Jul 6;111(1):49-50.
2
[Proceedings: Surgical treatment of cervical spine injuries].[会议论文:颈椎损伤的外科治疗]
Z Orthop Ihre Grenzgeb. 1974 Aug;112(4):899-903.
3
Anterior decompression and nonstructural bone grafting and posterior fixation for cervical facet dislocation with traumatic disc herniation.颈椎小关节脱位伴外伤性椎间盘突出的前路减压、非结构性植骨和后路固定。
Spine (Phila Pa 1976). 2012 Dec 1;37(25):2082-8. doi: 10.1097/BRS.0b013e31825ee846.
4
[The value of anterior plate fixation without bone graft in simple luxation and various fracture-luxations of the lower cervical spine].[前路钢板固定不植骨在下颈椎单纯脱位及各种骨折脱位中的价值]
Neurochirurgie. 1990;36(5):315-9.
5
Multiple level anterior cervical spine fusion. A report of 16 cases.多节段颈椎前路融合术。16例报告。
J Trauma. 1974 Aug;14(8):653-74. doi: 10.1097/00005373-197408000-00003.
6
[Surgical technique for cervical spondylosis and soft disc (author's transl)].颈椎病与软性椎间盘的手术技术(作者译)
No Shinkei Geka. 1975 Jan;3(1):15-20.
7
Anterolateral operations for fractures and dislocations in the middle and lower parts of the cervical spine.颈椎中下段骨折和脱位的前外侧手术
Acta Neurochir (Wien). 1970;22(2):261-5.
8
[The selection of the surgical approach in the management of fracture and dislocation of lower cervical spine combined spinal cord injury].[下颈椎骨折脱位合并脊髓损伤治疗中手术入路的选择]
Zhonghua Wai Ke Za Zhi. 2004 Nov 7;42(21):1303-6.
9
[Decompression of cervical spine using undermining resection through anterior approach].
Zhonghua Wai Ke Za Zhi. 1985 Sep;23(9):545-8, 573.
10
Late results of cervical disc surgery.
J Neurosurg. 1976 Aug;45(2):203-10. doi: 10.3171/jns.1976.45.2.0203.

引用本文的文献

1
Impact of titanium mesh cage slotting width on anterior cervical corpectomy and fusion for compression cervical spondylosis with MRI T2WI hyperintensity: a one-year follow-up study.钛网笼开槽宽度对伴MRI T2WI高信号的脊髓型颈椎病前路椎体次全切除融合术的影响:一项为期一年的随访研究
J Orthop Surg Res. 2024 Dec 31;19(1):896. doi: 10.1186/s13018-024-05339-x.
2
Effect of Steroid-Soaked Gelatin Sponge on Soft Tissue Swelling Following Anterior Cervical Discectomy and Fusion: A Radiographic Analysis.类固醇浸泡明胶海绵对颈椎前路椎间盘切除融合术后软组织肿胀的影响:一项影像学分析。
Asian Spine J. 2018 Aug;12(4):656-661. doi: 10.31616/asj.2018.12.4.656. Epub 2018 Jul 27.
3
Application and use of subcutaneous stay sutures in anterior cervical spine surgeries with a transverse neck incision: A technical report.皮下留置缝线在经颈部横切口颈椎前路手术中的应用与使用:技术报告
J Craniovertebr Junction Spine. 2018 Apr-Jun;9(2):96-100. doi: 10.4103/jcvjs.JCVJS_153_17.
4
Anterior cervical discectomy in a patient with huge thyroid tissue (goiter).巨大甲状腺组织(甲状腺肿)患者的颈椎前路椎间盘切除术。
J Neurosci Rural Pract. 2014 Nov;5(Suppl 1):S83-5. doi: 10.4103/0976-3147.145218.
5
Is dysphonia permanent or temporary after anterior cervical approach?颈椎前路手术后声音嘶哑是永久性的还是暂时性的?
Eur Spine J. 2007 Dec;16(12):2092-5. doi: 10.1007/s00586-007-0489-5. Epub 2007 Sep 8.
6
Cervical spinal cord injury and deglutition disorders.颈脊髓损伤与吞咽障碍
Dysphagia. 2004 Spring;19(2):87-94. doi: 10.1007/s00455-003-0511-y.

本文引用的文献

1
CERVICAL-DISC RESECTION. A FOLLOW-UP OF MYELOGRAPHIC AND SURGICAL PROCEDURE.颈椎间盘切除术。脊髓造影及手术操作的随访
J Bone Joint Surg Am. 1964 Dec;46:1811-21.
2
The anterior approach for removal of ruptured cervical disks.切除破裂颈椎间盘的前路手术。
J Neurosurg. 1958 Nov;15(6):602-17. doi: 10.3171/jns.1958.15.6.0602.
3
The treatment of certain cervical-spine disorders by anterior removal of the intervertebral disc and interbody fusion.通过前路椎间盘切除和椎间融合治疗某些颈椎疾病。
J Bone Joint Surg Am. 1958 Jun;40-A(3):607-24.
4
Severe injuries of the cervical spine treated by early anterior interbody fusion and ambulation.早期前路椎间融合及行走治疗颈椎严重损伤。
J Neurosurg. 1968 Apr;28(4):311-6. doi: 10.3171/jns.1968.28.4.0311.
5
Late results of cervical discectomy and interbody fusion: some factors influencing the results.颈椎间盘切除术及椎间融合术的远期疗效:影响疗效的一些因素
J Bone Joint Surg Am. 1968 Mar;50(2):277-86. doi: 10.2106/00004623-196850020-00006.
6
Results of using the Smith-Robinson approach for herniated and extruded cervical discs. Technical note.采用Smith-Robinson入路治疗颈椎间盘突出症和脱出症的结果。技术说明。
J Neurosurg. 1970 Jun;32(6):721-2. doi: 10.3171/jns.1970.32.6.0721.