颈腰综合征及其手术治疗

Tandem spinal stenosis: current progress and literature review

颈腰综合征是好发于老年人的一种脊柱退行性疾病,严重影响着患者的生活质量。该病同时伴有颈椎管狭窄症和腰椎管狭窄症,临床表现相对复杂,常导致临床症状与影响学表现不一致,诊断及手术方案的制定存在较大争议,致使许多患者术后临床症状不缓解、加重甚至出现新的症状。随着对该病认识的不断深入,各国学者依据患者颈椎和腰椎椎管狭窄的程度制定相应的手术方案,并比较各种手术方案的临床疗效和并发症。本文就颈腰综合征及其手术治疗的研究进展作一综述。

Tandem spinal stenosis is a degenerative spine disease commonly seen in the elderly and it severely affects pa- tients＇ quality of life. The patients with tandem spinal stenosis often have cervical spinal stenosis and lumbar spinal stenosis, and their clinical manifestations are relatively complicated. The clinical symptom is usually inconsistent with imaging findings. There is a big controversy over its diagnosis and surgical program. Many patients show no remission, have worsening of clinical symptoms, and even develop new symptoms after surgery. With the increasing understanding of the disease, scholars from all over the world have developed the individualized surgical program for patients with different degrees of cervical spinal stenosis and lumbar spinal stenosis, at the same time, the clinical efficacy and complications of different surgical programs were com- pared. This paper reviews the research advances in tandem spinal stenosis and its surgical treatment.