Shinomiya K, Okamoto A, Kamikozuru M, Furuya K, Yamaura I
Department of Orthopaedic Surgery, Tokyo Medical and Dental University, Japan.
J Spinal Disord. 1993 Aug;6(4):277-88. doi: 10.1097/00002517-199306040-00001.
Recently, postoperative results of cervical spondylosis, disc herniation, and ossification of the posterior longitudinal ligament (OPLL) after anterior cervical surgeries have improved. However, occasional unsatisfactory cases needing a second operation remain. We analyzed and developed strategies for multioperated neck (MON) cases; all patients had two operations. From 1965 to 1988, 443 cervical anterior surgeries were performed in our hospitals; 53 (12.0%) of these patients needed second operations. These MON cases were classified by the following causes: pseudarthrosis, graft fracture, insufficient decompression, misdiagnosis, and adjacent disc problems. These groups were analyzed, and the resulting surgical strategies, including indications and techniques of anterior surgery, are described.
最近，颈椎前路手术后颈椎病、椎间盘突出症及后纵韧带骨化症（OPLL）的术后效果有所改善。然而，仍有少数效果不理想的病例需要二次手术。我们对多次手术颈部（MON）病例进行了分析并制定了策略；所有患者均接受了两次手术。1965年至1988年，我院共进行了443例颈椎前路手术；其中53例（12.0%）患者需要二次手术。这些MON病例按以下原因分类：假关节形成、移植骨骨折、减压不充分、误诊及相邻椎间盘问题。对这些组别进行了分析，并描述了由此得出的手术策略，包括前路手术的适应证和技术。
