摘要
颈椎退变性疾病(cervical degenerative disease,CDD)为目前导致脊髓功能异常的典型诱因,严重影响患者的身心健康,颈前路减压融合术(anterior cervical discectomy and fusion,ACDF)从20世纪50年代出现至今,已成为解决CDD的金标准,而基于访查时间深入,术后邻近节段退变病(adjacent segment degeneration,ASD)隐患逐渐显露了出来。ASD对于融合术的后期效果会造成一定的影响,成为颈前路减压融合术的主要远期并发症。同时引发患者问题反复,严重的更是会对手术疗效造成影响,因此受到国内外学者的广泛关注。此次主要总概了近些年业内有关研究成果,并就ASD的发生情况、危险性和防范等予以探讨,提升对于该问题的认识。
Cervical degenerative disease(CDD)is a typical cause of spinal cord dysfunction,which seriously affects the physical and mental health of patients.Since its birth in 1955,anterior cervical discectomy and fusion(ACDF)has become the gold standard to solve CDD.Based on the depth of the interview time,the hidden danger of postoperative adjacent segment degeneration(ASD)gradually emerged.ASD has a certain impact on the late results of anterior cervical decompression and fusion,and it has become the main long-term complication of anterior cervical decompression and fusion.At the same time,it causes repeated patient problems,and if serious,it will affect the surgical efficacy,so it has been widely concerned by scholars at home and abroad.This article mainly summarizes the relevant research results in the field in recent years,and discusses the occurrence,risk and prevention of ASD,so as to improve the understanding of the problem.
作者
王超
唐晓杰
谭江威
WANG Chao;TANG Xiaojie;TAN Jiangwei(Yantai Affiliated Hospital of Binzhou Medical University,Yantai 264100,China;不详)
出处
《中国医学创新》
CAS
2023年第5期167-171,共5页
Medical Innovation of China
关键词
邻近节段退变
颈椎病
颈前路减压融合术
生物力学
Adjacent segment degeneration
Cervical spondylosis
Anterior cervical decompression and fusion
Biomechanics
