Foley M J, Lee C, Calenoff L, Hendrix R W, Cerullo L J
AJR Am J Roentgenol. 1982 Jan;138(1):79-89. doi: 10.2214/ajr.138.1.79.
Preoperative, intraoperative, and postoperative radiologic evaluation of surgical cervical spine fusion plays an integral part in the management of cervical spine injuries. The radiographic anatomy of the basic types of anterior, posterior, and combined fusions and the indications for their performance are discussed. A retrospective review of 210 consecutive cervical spine fusions showed a 21.1% radiographic complication rate for anterior fusions and only 3.9% for posterior fusions. The high complication rate of anterior fusions is related to the performance of anterior fusion in the presence of unrecognized posterior instability. Radiographically identified complications must be correlated with the clinical neurologic examination in each case since the spectrum of radiographic complications may be compatible with a clinically satisfactory result.
颈椎手术融合术前、术中和术后的影像学评估在颈椎损伤的治疗中起着不可或缺的作用。本文讨论了前路、后路及联合融合等基本类型的影像学解剖结构及其应用指征。一项对210例连续颈椎融合手术的回顾性研究显示，前路融合的影像学并发症发生率为21.1%，而后路融合仅为3.9%。前路融合的高并发症发生率与在未识别出后方不稳定的情况下进行前路融合有关。由于影像学并发症的范围可能与临床满意结果相符，因此在每种情况下，影像学确定的并发症都必须与临床神经学检查相关联。
