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颈椎后纵韧带骨化症手术治疗进展 被引量：2

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摘要 颈椎后纵韧带骨化症(OPLL)是引起颈椎管狭窄,导致颈髓受压和四肢功能障碍的常见原因。该病进展缓慢且不可逆转,目前多主张早期手术治疗。一般认为症状进行性加重或保守治疗无效即有手术指征。后路手术适用于65岁以上长节段OPLL患者,近年来一些侵袭性小的术式受到关注,跳跃式椎板切除术可有效预防持续性轴性痛、颈椎活动受限和颈椎生理前凸角度丢失等问题;保留C7棘突的C3-6椎板成形术术后轴性症状发生率低。前路手术适用于短节段OPLL,根据骨化块与硬膜有无广泛粘连等情况采用椎体次全切除或前路漂浮法,近期和远期神经功能恢复较好;内固定技术在前路手术中得到广泛应用。前后路联合手术应用较少。微创手术具有效果好、并发疽少等优点,但手术技术要求高。对无症状但存在明显脊髓受压证据的OPLL患者,是否行预防性手术存在争议,长期的前瞻研究提示大多数患者无需行预防性手术。
作者 胡文林 王建卫 徐少文
机构地区 浙江大学医学院附属第二医院骨科
出处 《国际骨科学杂志》 2007年第6期371-373,376,共4页 International Journal of Orthopaedics
关键词 颈椎 骨化 后纵韧带 椎板切除术 椎板成形术 椎体次全切除术 前路漂浮法 预防性手术
分类号 R687.2 [医药卫生—骨科学]
  • 相关文献

参考文献29

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二级参考文献19

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共引文献23

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国际骨科学杂志
2007年 第6期

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