颈椎病减压术后C_5神经根麻痹的研究进展  

Advances in research of C_5 palsy after decompression surgery for cervical spondylosis

作　　者：王毅峰[1,2] 邓克强[2] 黄轩[1] 李凤宁[1] 张帆[1] 陈智[1] 沈洪兴[1] 

机构地区：[1]第二军医大学长海医院骨科,上海市200433 [2]福建省军区厦门警备区医院,厦门市361004

出　　处：《中国矫形外科杂志》2015年第7期624-628,共5页Orthopedic Journal of China

基　　金：上海市卫生局青年科研项目(编号:SHWSJQN2013195);长海医院"1255"学科建设计划项目(编号:CH125540200);国家自然科学基金项目(编号:81372012)

摘　　要：C5神经根麻痹是颈椎病减压术后较为常见的并发症,严重影响患者术后的生活质量。该病发病机制复杂,相关临床研究主要围绕医源性损伤、栓系效应和脊髓病变加重等假说展开。随着对该病认识的不断深入,通过完善术前脊髓病变程度评估,严格把握减压手术指征,合理制定减压术式,各国学者针对神经根麻痹的致病机理,开展了如预防性椎间孔切开以及常规使用术中电生理监测等预防措施,以期减少该病的发生率。本文就颈椎病减压术后C5神经根麻痹的相关进展做一综述。C5 palsy is a common complication of decompression surgery for cervical spondylosis,which could severely affect patients quality of life. With a complicated pathogenesis,the onset of C5 palsy is related to several risk factors. However,studies on C5 palsy mainly focused on some hypotheses,like iatrogenic injuries,the tethering effect and myelopathy aggravated after decompression,etc. With growing awareness of the pathogenesis,studies on possible pathogenic factors were carried out recently. To reduce the incidence of C5 palsy,researchers have applied the techniques of prophylactic laminotomy and electroneurophysiological monitoring routinly in the decompression procedures,while fully evaluate the extend of compression of the spinal cord,select indications for sugery strictly,and make surgical plan properly. This review aimed to discuss the advances in research of C5 palsy.

关 键 词：C5神经根麻痹 颈前路减压术 椎板切除减压术 椎板成形术 栓系效应 

分 类 号：R687.3[医药卫生—骨科学]