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首页> 外文期刊>Neurosurgical focus >Ventral fusion versus dorsal fusion: Determining the optimal treatment for cervical spondylotic myelopathy
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Ventral fusion versus dorsal fusion: Determining the optimal treatment for cervical spondylotic myelopathy

机译：腹侧融合与背侧融合：确定颈椎病脊髓病的最佳治疗方法

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摘要

Cervical spondylotic myelopathy (CSM) often can be surgically treated by either ventral or dorsal decompression and fusion. However, there is a lack of high-level evidence on the relative advantages and disadvantages for these treatments of CSM. The authors' goal was to provide a comprehensive review of the relative benefits of ventral versus dorsal fusion in terms of quality of life (QOL) outcomes, complications, and costs. They reviewed 7 studies on CSM published between 2003 and 2013 and summarized the findings for each category. Both procedures have been shown to lead to statistically significant improvement in clinical outcomes for patients. Ventral fusion surgery has been shown to yield better QOL outcomes than dorsal fusion surgery. Complication rates for ventral fusion surgery range from 11% to 13.6%, whereas those for dorsal fusion surgery range from 16.4% to 19%. Larger randomized controlled trials are needed, with particular emphasis on QOL and minimum clinically important differences.
机译：颈椎病脊髓病（CSM）通常可以通过腹侧或背侧减压融合术进行手术治疗。但是，缺乏有关这些CSM治疗方法相对优缺点的高级证据。作者的目的是就生活质量（QOL）结局，并发症和成本方面对腹侧融合与背侧融合的相对益处进行全面的综述。他们回顾了2003年至2013年间发表的有关CSM的7项研究，并总结了每个类别的发现。两种方法均显示可导致患者临床结局的统计学显着改善。腹侧融合手术已显示出比背侧融合手术更好的QOL结果。腹侧融合手术的并发症发生率从11％到13.6％，而背侧融合手术的并发症发生率从16.4％到19％。需要更大的随机对照试验，尤其要强调QOL和最小的临床重要差异。

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