颈椎病手术治疗进展

Progress in Surgical Treatment of Cervical Spondylosis

颈椎前路减压植骨融合术已广泛应用于颈椎病患者的手术治疗。近年来,由融合导致邻近节段椎间盘退变加速并出现临床症状的病例逐渐增多。为解决该问题,颈椎人工椎间盘置换技术应运而生,并已在临床取得一定的效果。然而,人工椎间盘在避免相邻节段应力增加的作用并未被一致公认的研究结果所证实。微创脊柱外科的迅速发展,为骨科医师通过微小创伤即解决患者痛苦提供了帮助,但诸多相关问题尚待更多的临床研究和论证。

Nowadays the anterior cervical decompression and fusion procedure is the standard method for cervical spondylosis.However,clinical studies showed that fusion is associated with a decreased range of motion and leads to accelerated adjacent segment degeneration.Spinal arthroplasty,which provides motion preservation of the implanted unit,could reasonably slow down or eliminate adjacent segment degeneration.Surgeons are becoming more interested in performing arthroplasty instead of fusion,even if its biomechanical benefit is not validated.Minimally invasive techniques have evolved rapidly,which appears to be a good alternative procedure for the patients through minor trauma,but still needs more intensive clinical research and demonstration.