Albert T J, Vacarro A
Thomas Jefferson University, Rothman Institute, Philadelphia, Pennsylvania, USA.
Spine (Phila Pa 1976). 1998 Dec 15;23(24):2738-45. doi: 10.1097/00007632-199812150-00014.
Postlaminectomy kyphosis is a rare but potentially catastrophic complication of laminectomy performed to treat cervical myelopathy. The best strategy for prevention is awareness of the sagittal plane before surgery in patients with cervical spondylotic myelopathy. An understanding of the biomechanical forces placed on the cervical spine, the normal structures contributing to stability and the underlying pathologic process helps in the prevention and ultimate treatment of postlaminectomy kyphosis. This is a review of the risk factors, biomechanics, work-up, and surgical treatment of postlaminectomy kyphosis.
椎板切除术后脊柱后凸是为治疗颈椎脊髓病而进行椎板切除术罕见但可能灾难性的并发症。预防的最佳策略是在颈椎病性脊髓病患者手术前了解矢状面情况。了解作用于颈椎的生物力学力量、有助于稳定的正常结构以及潜在的病理过程，有助于预防和最终治疗椎板切除术后脊柱后凸。本文综述了椎板切除术后脊柱后凸的危险因素、生物力学、检查及手术治疗。
