颈椎病的手术治疗策略  

The surgical treatment of cervical spondylosis

作　　者：张晓军[1] 胡侦明[1] 江维[1] 郝杰[1] ZHANG Xiao-jun;HU Zhen-ming;JIANG Wei;HAO Jie(The Department of Orthopedic Surgery,The First Affiliated Hospital of Chongqing Medical University,Chongqing,400016,China)

机构地区：[1]重庆医科大学附属第一医院骨科,400016

出　　处：《中国骨与关节杂志》2023年第1期1-3,共3页Chinese Journal of Bone and Joint

摘　　要：颈椎病是由于颈椎间盘退行性改变及其继发性改变,刺激或压迫相邻脊髓、神经、血管等组织并出现与影像学改变相应的症状和体征。根据不同组织结构受累而出现的不同临床表现,可将颈椎病分为颈型、神经根型、脊髓型、交感神经型、椎动脉型和其它型。颈椎病的诊断应该同时满足以下条件:有颈椎病相关的一些临床表现,影像学显示颈椎间盘或椎间关节有退行性改变,影像学征象必须与临床表现相一致。明确诊断的脊髓型颈椎病,如无手术禁忌,应尽早手术治疗,其它类型的颈椎病经正规保守治疗足够时间无效或症状进行性加重,应选择手术治疗[1]。Surgical approaches for cervical spondylosis include posterior approach,anterior approach and combined posterior and anterior approach.Posterior approaches are mainly divided into laminectomy and laminoplasty.Anterior approaches include anterior cervical discectomy and fusion,anterior cervical corpectomy and fusion,artificial cervical disc replacement,anterior cervical hybrid decompression and fusion,anterior controllable antidisplacement and fusion.Each method has its own advantages and disadvantages.Therefore,the surgeons should choose the optimal surgical method according to the actual situation of the patients during the diagnosis and treatment.

关 键 词：颈椎病 矫形外科手术 入路 

分 类 号：R681.5[医药卫生—骨科学]