摘要
一、颈椎病的基本概念与定义
什么是颈椎病,是学术界长期争论的一个临床难题。从1984年,中华外科杂志和中华骨科杂志编委会在桂林主持召开的全国＂第一届颈椎病专题座谈会＂;到1992年,中华外科杂志和解放军医学杂志编委会在青岛举办的全国＂第二届颈椎病专题座谈会＂;再到2008年,由中华外科杂志、SICOT中国分会及上海东方医院等在上海举办的＂第三届全国颈椎病座谈会＂。这三次会议都对颈椎病的定义进行了讨论,争论,辩论。
In 1976, Dr. Zhao Dinglin and Dr. Zhang Wenming made the breakthrough. Based on the purpose of releasing bone induced pressure they had completed the first anterior radical cervical decompression and bone grafting ＋ partial rotation. Since then, chinese scholars had continuously explored the pathogenesis, pathological anatomy, pathophysiological features, reasonable classification and many other related issues of cervical spondylosis. In several years from 1970 s, the author proposed the concept of cervical nonfusion technology, to accomplish various designs and producing, which was subsequently used in clinical treatment. We brought forward Luschka＇s joint diseases and anterior-lateral decompression surgery on the purpose of resecting Luschka＇s joints. To reduce the damage to the cervical spine anatomy, we had designed a cervical anterior undermining decompression instrument（ including ＂L＂ shape, ＂T＂ shape, ＂Y＂ shape and single vertebrae）. We cooperated with Shanghai No. Six Surgical Instruments Factory and produced both conventional and special instruments on cervical spine surgery to improve the accuracy and security in operations. After that, we designed cervical hollow threaded fixator, artificial cervical vertebra body and artificial vertebra plate.Combined with the research results concluded by three national forums, we elaborated basic concepts and definitions of cervical researches at different periods. On this basis we introduced those crucial issues such as the natural outcome of the cervical spondylosis, pathological anatomy features, pathogenesis and so on. Also, for some related trending topics we expressed personal viewpoints. For instance, selection of operative approach（ anterior or posterior）, origin, choice and effectiveness of nonfusion technique, and operative essentials of less invasion. Furthermore we put forward the main points on more common clinical diseases： Luschka＇s joint diseases and anterior central spinal artery syndrome. In particular, we strongly emp
出处
《中国骨与关节杂志》
CAS
2015年第8期594-601,共8页
Chinese Journal of Bone and Joint
关键词
颈椎病
椎间盘退行性变
手术后并发症
外科手术
Cervical spondylosis
Intervertebral disc degeneration
Postoperative complications
Surgical procedures
operative
