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首页> 外文期刊>Clinical neurology and neurosurgery >Spinal alignment, surgery, and outcomes in cervical deformity: A practical guide to aid the spine surgeon
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Spinal alignment, surgery, and outcomes in cervical deformity: A practical guide to aid the spine surgeon

机译：脊柱对准，手术和宫颈畸形的结果：帮助脊柱外科医生的实用指南

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摘要

Compared to the thoracolumbar spine, the literature on cervical spine alignment is scarce. While a consistent number of articles have been published, few analyze the ideal surgical approaches for each type of deformity and the optimal amount of correction to achieve. This paper provides a comprehensive review of current literature on cervical spinal deformities (with or without myelopathy) and their surgical management; it is our goal to create a framework on which surgical planning can be made. A general assessment of the actually utilized parameters and correlation between the cervical and thoracolumbar spine alignment is presented. Moreover, we provide an analysis of cervical surgical approaches (anterior, posterior, or combined), techniques (laminoplasty, laminectomy and fusion, anterior cervical discectomy and fusion, corpectomy), and their indications. Finally, a complete evaluation of outcomes and postoperative health-related quality of life (HRQOL) measures based on questionnaires (NDI, VAS, SF-36, mJOA) is discussed. Several prospective studies would be useful in understanding how cervical alignment may be important in the assessment and treatment of cervical deformities with or without myelopathy. In particular, future works should concentrate on the correlation between cervical alignment parameters, disability scores, and myelopathy outcomes. We propose, via comprehensive literature review, a guide of practical key points on surgical techniques, cervical alignment, and symptom improvement goals surgeons should aim to achieve for each patient.
机译：与胸腰椎脊柱相比，颈椎对齐的文献是稀缺的。虽然已经公布了一致数量的文章，但很少分析每种类型的畸形和实现最佳校正的理想手术方法。本文对宫颈脊柱畸形（有或没有Myelopathy）及其手术管理提供了全面的文献综述;我们的目标是创建一个框架，可以在哪个框架上进行手术规划。提出了对实际使用参数和宫颈和胸腰椎脊柱对齐之间的相关性的一般评估。此外，我们提供了对宫颈手术方法（前，后或组合），技术（层压成形术，椎板切除术和融合，前宫颈点切除术和融合，心物术）的分析及其适应症。最后，讨论了基于问卷调查（NDI，VAS，SF-36，MJOA）的结果的完全评估结果和术后健康状况（HRQOL）措施。几项前瞻性研究对于了解宫颈取向在有或没有髓病的宫颈畸形的评估和治疗中可能是如何重要的。特别是，未来的作品应专注于宫颈取向参数，残疾分数和迈源结果之间的相关性。我们通过全面的文献综述提出了手术技术的实际关键点指南，宫颈对齐和症状改善目标外科医生应为每位患者实现。

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