神经根型颈椎病和脊髓型颈椎病手术治疗的研究进展

Research Progress of Surgical Approach for Cervical Spondylotic Myelopathy and Cervicalspondylotic Radiculopathy

颈椎病是一种临床发病率较高的退行性病变,发病原因主要是颈椎长期劳损、骨质增生或椎间盘脱出、韧带增厚等导致颈椎脊髓、神经根或椎动脉受压,进而引起一系列功能性障碍。临床普遍认为,对于已经得到明确诊断,且神经根压迫症状严重的患者,以及经保守治疗后症状无明显好转的患者应及时采取手术治疗,解除压迫状态,从而获得良好的预后。随着融合技术的进步及合成材料的改进,颈椎病的手术治疗效果也不断提高。本文对近年来国内外神经根型颈椎病和脊髓型颈椎病手术治疗的相关文献进行综述。

With the higher incidence, the cervical spondylosis is a common degenerative disease, which could disorder the body functions resulted from the compression by the cervical osteoarthritis, the proliferative osteoarthritis, the cervical nerve root syndrome or the prolapsed intervertebral disc. It is suggested that the timely surgical treatment should be conducted to remove the compression for those who have been clearly diagnosed or failed to improve by conservative treatment so as to acheive better prognosis. With the improvement of surgical technics and the development of synthetic bone graft substitute materials, the clinical effects have been more and more significant. This paper reviewed the latest researches on the treatment of cervical spondylosis.