We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
脊髓型颈椎病手术治疗新进展.
- Authors
梁里昂; 李力仙; 郭天林; 刘龙; 贾玉龙; 赵锴
- Abstract
Cervical spondylotic myelopathy (CSM) secondary to degenerative spinal changes causing canal stenosis and spinal cord compression are causes of myelopathy that often require surgical decompression either through multilevel anterior cervical discectomies/ corpectomies or laminectomy/ laminoplasty. Surgical approaches, either anterior or posterior, aim to widen the cervical canal and generally result in a good outcome. Patients are classically managed with anterior decompression at multiple disc spaces, multilevel corpectomy, laminectomy with or without fusion, laminoplasty, and finally multilevel oblique corpectomy. Discectomy and central corpectomy with grafting have been widely used through the anterior approach with or without anterior plating. From the posterior route, a cervical laminectomy with or without lateral mass screws/ rods and laminoplasty are popular procedures among some spine surgeons. The choice between an anterior or posterior route depends on the location, extent and type of the compressive pathology, curvature of the spine, and presence of instability. In patients with more than 3 affected levels, the techniques most frequently used are the anterior multiple corpectomy with autologous bone graft placement or the posterior route (laminectomy or open door laminoplasty). However, the best choice of surgical approach is still controversial. The aim of this review was to investigate the progress of operational treatment in cervical spondylosis myelopathy.
- Publication
Progress in Modern Biomedicine, 2015, Vol 15, Issue 29, p5758
- ISSN
1673-6273
- Publication type
Article
- DOI
10.13241/j.cnki.pmb.2015.29.045