Shiba R, Murota K, Kondo H, Honma G
Department of Orthopaedic Surgery, Jikei University School of Medicine, Tokyo, Japan.
Spine (Phila Pa 1976). 1993 May;18(6):762-3. doi: 10.1097/00007632-199305000-00015.
Congenital kyphosis and atlantoaxial dislocation in a 13-year-old boy was treated by a C1 laminectomy and C2-C5 laminoplasty with fusion from the occiput to C2. This resulted in postoperative neurologic deterioration, but a secondary anterior C3 vertebrectomy followed by a C2-C5 fusion helped restore neural function. In the presence of congenital cervical kyphosis, anterior rather than posterior decompression and fusion is recommended, particularly in the presence of a stenotic spinal canal.
一名13岁男孩的先天性脊柱后凸和寰枢椎脱位采用C1椎板切除术和C2 - C5椎板成形术并进行枕骨至C2融合治疗。这导致术后神经功能恶化，但随后进行的二次C3椎体前路切除术及C2 - C5融合术有助于恢复神经功能。对于先天性颈椎后凸，建议采用前路而非后路减压和融合术，尤其是在存在椎管狭窄的情况下。
