手术治疗椎板切除术后重度强直型颈椎后凸1例  

Surgical Treatment of Severe Rigid Cervical Kyphosis after Laminectomy: A Case Report

作　　者：杨浚一 伍伟飞[2,3] 梁杰[2,3] 

机构地区：[1]三峡大学基础医学院,湖北 宜昌 [2]三峡大学人民医院,湖北 宜昌 [3]宜昌市第一人民医院,湖北 宜昌

出　　处：《临床医学进展》2022年第11期10327-10332,共6页Advances in Clinical Medicine

摘　　要：背景:成人颈椎后凸畸形是一种发病率低但损伤严重的疾病。本文报告一例医源性损伤引起的严重颈椎后凸症。病例简介:患者40年前因颈部肿瘤接受C3~C6椎板切除术,13年前出现脊髓压迫的渐进性症状。3年前,接受了前后路颈椎手术。术后随访2年,颈椎后凸矫正,肢体麻木和疲劳症状改善,JOA评分10分,双上肢疼痛消失,双下肢肌力恢复至Ⅳ级。结论:医源性损伤引起的颈椎后凸畸形是罕见的。通常需要多次手术,手术方法存在复杂性、灵活性,但有时仅行前后路联合松解+后路截骨矫形及固定可以减少手术次数,降低手术风险,达到预期效果,是可供选择的手术方式。Data background: Adultcervical kyphosis is a disease with low incidence but great damage. This paper reported a case of severe cervical kyphosis caused by iatrogenic injury. Case Introduction: The patient underwent C3~C6 laminectomy for cervical tumor 40 years ago and developed progres-sive symptoms of spinal cord compression 13 years ago. 3 years ago, he underwent anterior and posterior cervical spine surgery. After 2 years of follow-up, cervical kyphosis was corrected, limb numbness and fatigue symptoms improved, JOA score was 10, pain in both upper limbs disap-peared, and muscle strength in both lower limbs recovered to grade IV. Conclusion: Cervical kypho-sis due to iatrogenic injury is rare. Usually multiple operations are required, and the surgical method is complicated and flexible, but sometimes only anterior posterior release + posterior oste-otomy and fixation can reduce the number of operations, reduce the risk of surgery, and achieve the desired effect. It is also a treatment option.

关 键 词：严重颈椎后凸 多次手术 颈椎椎板切除术 手术技术 

分 类 号：R68[医药卫生—骨科学]