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颈椎融合术后邻近节段退变的研究现状 被引量：7

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摘要 颈椎病是脊柱外科的一种常见病，尤其在老年人群中十分普遍。外科治疗通常是切除颈椎椎间盘和骨赘，然后行椎体间融合。自20世纪50年代Cloward[1]和Robinson等[2] 首次介绍了颈椎前路减压融合术（anterior cervical discectomy and fusion，ACDF）起，颈椎融合术便一直被广泛使用，成为了外科治疗颈椎疾患的标准术式。尽管融合术已较为成熟，但它可能导致邻近节段椎间盘应力升高，因而加速邻近节段退变，导致临床症状，即所谓的邻近节段病[3]。近年兴起的人工颈椎椎间盘置换术（cervical disc replacement，CDR）成为了脊柱外科医生们的新宠，人们希望这种新技术能够保留颈椎自身活动度，降低邻近节段退行性变（adjacent segment degeneration, ASD）的发生率。目前短期随访结果十分令人鼓舞[4]，长期随访是否仍能令人满意，取决于它是否切实减少了ASD的发生。这就需要在长期随访中证明人工颈椎椎间盘既保留了手术节段的活动度，又具有较低的ASD发生率。
作者 逄川 海涌 杨晋才 刘玉增
机构地区 首都医科大学附属北京朝阳医院骨科
出处 《脊柱外科杂志》 2013年第2期112-114,共3页 Journal of Spinal Surgery
基金 北京市科技计划课题(Z111100074911005)
关键词 颈椎 脊柱融合术 椎间盘退变 术后并发症 综述
分类号 R681.531 [医药卫生—骨科学]
  • 相关文献

参考文献25

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二级参考文献53

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共引文献32

同被引文献66

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引证文献7

二级引证文献18

脊柱外科杂志
2013年 第2期

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