颈椎病手术治疗的最新研究进展
Recent Advances in Surgical Treatment of Cervical Spondylosis
DOI: 10.12677/acm.2025.1551586, PDF,   
作者: 缪圣旺：赣南医科大学第一临床医学院，江西 赣州；徐房添*：赣南医科大学附属第一医院骨科，江西 赣州
关键词: 颈椎病；手术治疗；微创技术；Cervical Spondylosis； Surgical Treatment； Minimally Invasive Techniques
摘要: 随着年龄和现代生活节奏的变化，颈椎病的手术治疗得到关注，而其选择何种手术治疗方式是目前的研究重点和热点。手术方式多种多样，且都可取得不错的疗效，本文对各种手术治疗颈椎病的最新研究进行综述。
Abstract: With the change of age and the rhythm of modern life, the surgical treatment of cervical spondylosis has attracted attention, and the choice of surgical treatment is the focus and hot spot of current research. There are a variety of surgical methods, and all of them can achieve good results, and the latest research on various surgical treatments for cervical spondylosis is reviewed in this article.
文章引用：缪圣旺, 徐房添. 颈椎病手术治疗的最新研究进展[J]. 临床医学进展, 2025, 15(5): 2011-2018. https://doi.org/10.12677/acm.2025.1551586

参考文献

[1] Theodore, N. (2020) Degenerative Cervical Spondylosis. New England Journal of Medicine, 383, 159-168. [Google Scholar] [CrossRef] [PubMed]
[2] McCormick, J.R., Sama, A.J., Schiller, N.C., Butler, A.J. and Donnally, C.J. (2020) Cervical Spondylotic Myelopathy: A Guide to Diagnosis and Management. The Journal of the American Board of Family Medicine, 33, 303-313. [Google Scholar] [CrossRef] [PubMed]
[3] Williams, J., D’Amore, P., Redlich, N., Darlow, M., Suwak, P., Sarkovich, S., et al. (2022) Degenerative Cervical Myelopathy: Evaluation and Management. Orthopedic Clinics of North America, 53, 509-521. [Google Scholar] [CrossRef] [PubMed]
[4] Saygi, T., Ozdemir, O., Baran, O., Evran, S., Kayhan, A., Ozbek, M.A., et al. (2020) Multi-Level Anterior Cervical Decompression in Multi-Level Cervical Spondylotic Myelopathy without Extending the Corpus Resection: A Cadaveric Study of a Novel Surgical Technique. Turkish Neurosurgery, 31, 173-181. [Google Scholar] [CrossRef] [PubMed]
[5] Lee, H., Chen, C., Wu, C., Guo, J. and Chen, Y. (2019) Comparison of Radiological Outcomes and Complications between Single-Level and Multilevel Anterior Cervical Discectomy and Fusion (ACDF) by Using a Polyetheretherketone (PEEK) Cage-Plate Fusion System. Medicine, 98, e14277. [Google Scholar] [CrossRef] [PubMed]
[6] Meng, H., Jin, T., Wang, J., Ji, X., Peng, Z., Qi, M., et al. (2024) Comparison of Interbody Fusion Strategies in Anterior Cervical Discectomy and Fusion: A Network Meta-Analysis and Systematic Review. World Neurosurgery, 190, 65-75. [Google Scholar] [CrossRef] [PubMed]
[7] 雷洪俊, 陈忠羡, 付兆宗, 等. 零切迹颈椎前路椎间融合固定系统手术治疗单节段颈椎间盘突出症的临床效果[J]. 中国医学创新, 2021, 18(8): 57-60.
[8] Ruetten, S., Komp, M., Merk, H. and Godolias, G. (2008) Full-Endoscopic Anterior Decompression versus Conventional Anterior Decompression and Fusion in Cervical Disc Herniations. International Orthopaedics, 33, 1677-1682. [Google Scholar] [CrossRef] [PubMed]
[9] Wu, Z., Wei, Z. and Song, X. (2024) Comparison of Efficacy between Endoscope-Assisted Anterior Cervical Discectomy and Fusion (ACDF) and Open ACDF in the Treatment of Single-Segment Cervical Spondylotic Myelopathy. Journal of Orthopaedic Surgery and Research, 19, Article No. 35. [Google Scholar] [CrossRef] [PubMed]
[10] 杨贺军, 简磊, 唐骞, 等. 开放入路(空气/水介质)内镜辅助下颈椎前路间盘切除减压融合术对脊髓型颈椎病的早期疗效及安全性[J]. 中华医学杂志, 2023, 103(35): 2795-2800.
[11] Louie, P.K., Nemani, V.M. and Leveque, J.A. (2022) Anterior Cervical Corpectomy and Fusion for Degenerative Cervical Spondylotic Myelopathy: Case Presentation with Surgical Technique Demonstration and Review of Literature. Clinical Spine Surgery: A Spine Publication, 35, 440-446. [Google Scholar] [CrossRef] [PubMed]
[12] Chen, T., Wang, Y., Zhou, H., Lin, C., Li, X., Yang, H., et al. (2023) Comparison of Anterior Cervical Discectomy and Fusion versus Anterior Cervical Corpectomy and Fusion in the Treatment of Localized Ossification of the Posterior Longitudinal Ligament. Journal of Orthopaedic Surgery, 31. [Google Scholar] [CrossRef] [PubMed]
[13] Tang, B., Yang, J., Zhang, Y., Ren, X., Jiang, T., Mo, Z., et al. (2022) Incorporating Strategy in Hybrid Surgery for Continuous Two-Level Cervical Spondylosis from a Biomechanical Perspective. Computer Methods and Programs in Biomedicine, 226, Article ID: 107193. [Google Scholar] [CrossRef] [PubMed]
[14] Chang, C., Liu, Y., Hsiao, Y., Huang, Y., Liu, K., Lin, R., et al. (2022) Comparison of Anterior Cervical Discectomy and Fusion versus Artificial Disc Replacement for Cervical Spondylotic Myelopathy: A Meta-Analysis. Journal of Neurosurgery: Spine, 37, 569-578. [Google Scholar] [CrossRef] [PubMed]
[15] Steinberger, J. and Qureshi, S. (2020) Cervical Disc Replacement. Neurosurgery Clinics of North America, 31, 73-79. [Google Scholar] [CrossRef] [PubMed]
[16] Sun, J., Shi, J., Xu, X., Yang, Y., Wang, Y., Kong, Q., et al. (2017) Anterior Controllable Antidisplacement and Fusion Surgery for the Treatment of Multilevel Severe Ossification of the Posterior Longitudinal Ligament with Myelopathy: Preliminary Clinical Results of a Novel Technique. European Spine Journal, 27, 1469-1478. [Google Scholar] [CrossRef] [PubMed]
[17] He, X., Zhang, J.N., Liu, T.J. and Hao, D.J. (2020) Is Laminectomy and Fusion the Better Choice than Laminoplasty for Multilevel Cervical Myelopathy with Signal Changes on Magnetic Resonance Imaging? A Comparison of Two Posterior Surgeries. BMC Musculoskeletal Disorders, 21, Article No. 423. [Google Scholar] [CrossRef] [PubMed]
[18] Daher, M., Nassar, J.E., McDonald, C.L., Balmaceno-Criss, M., Diebo, B.G. and Daniels, A.H. (2024) Laminoplasty versus Laminectomy and Posterior Fusion for Cervical Myelopathy: A Meta-Analysis of Radiographic and Clinical Outcomes. Spine, 49, 1311-1321. [Google Scholar] [CrossRef] [PubMed]
[19] Karademir, M., Kucuk, A., Ulutabanca, H., et al. (2017) The Comparison of Hemilaminectomy and Laminoplasty Procedures in the Surgical Treatment of Cervical Spondylotic Myelopathy. Turkish Neurosurgery, 27, 74-84.
[20] Nori, S., Shiraishi, T. and Aoyama, R. (2020) Comparison between Muscle-Preserving Selective Laminectomy and Laminoplasty for Multilevel Cervical Spondylotic Myelopathy. Annals of Translational Medicine, 8, 160-160. [Google Scholar] [CrossRef] [PubMed]
[21] Su, X., Lv, Z., Chen, Z., Wang, K., Zhu, C., Chen, H., et al. (2020) Comparison of Accuracy and Clinical Outcomes of Robot-Assisted versus Fluoroscopy-Guided Pedicle Screw Placement in Posterior Cervical Surgery. Global Spine Journal, 12, 620-626. [Google Scholar] [CrossRef] [PubMed]
[22] Mo, Z., Li, D., Zhang, R., Chang, M., Yang, B. and Tang, S. (2018) Comparison of Three Fixation Modalities for Unilateral Open-Door Cervical Laminoplasty: A Systematic Review and Network Meta-Analysis. Neurosurgical Review, 43, 813-823. [Google Scholar] [CrossRef] [PubMed]
[23] 陈天天, 张勋, 孟凡超, 等. 颈后路不同手术方式治疗多节段脊髓型颈椎病的研究进展[J]. 医学综述, 2021, 27(15): 3039-3044.
[24] Wang, X., Zhao, Y., Lu, X., Zhao, X., Fan, Z., Qi, D., et al. (2021) Comparison of Imaging Parameters between a New Cervical Full Lamina Back Shift Spinal Canal Enlargement Technique and Single Open‐door Laminoplasty for Multisegment Cervical Spondylotic Myelopathy. Orthopaedic Surgery, 13, 1496-1504. [Google Scholar] [CrossRef] [PubMed]
[25] 周帅, 周非非, 赵衍斌, 等. 颈后路经肌间隙入路“升顶式”椎管扩大椎板成形术后早期颈椎矢状面平衡的变化[J]. 中国脊柱脊髓杂志, 2021, 31(12): 1121-1128.
[26] 郭洪録. 颈椎后路Hybrid手术治疗多节段脊髓型颈椎病疗效观察[D]: [硕士学位论文]. 荆州: 长江大学, 2021.
[27] Zhou, X., Cai, P., Li, Y., Wang, H., Xia, S. and Wang, X. (2017) Posterior or Single-Stage Combined Anterior and Posterior Approach Decompression for Treating Complex Cervical Spondylotic Myelopathy Coincident Multilevel Anterior and Posterior Compression. Clinical Spine Surgery: A Spine Publication, 30, E1343-E1351. [Google Scholar] [CrossRef] [PubMed]
[28] Yadav, Y., Ratre, S., Swamy, M., Parihar, V. and Bajaj, J. (2020) Endoscopic Anterior Cervical Discectomy (Disc Preserving). Neurology India, 68, 1310-1312. [Google Scholar] [CrossRef] [PubMed]
[29] Ma, Y., Xin, Z., Kong, W., Zhang, L., Du, Q. and Liao, W. (2022) Transcorporeal Decompression Using a Fully-Endoscopic Anterior Cervical Approach to Treat Cervical Spondylotic Myelopathy: Surgical Design and Clinical Application. BMC Musculoskeletal Disorders, 23, Article No. 1031. [Google Scholar] [CrossRef] [PubMed]
[30] Dong, Y. and Yu, Y. (2024) The Clinical Efficacy of Anterior Cervical Discectomy and Fusion under Three-Dimensional Microscopy. World Neurosurgery, 190, 309-310. [Google Scholar] [CrossRef] [PubMed]
[31] Mummaneni, P.V., Bisson, E.F., Michalopoulos, G., Mualem, W.J., El Sammak, S., Wang, M.Y., et al. (2024) Comparing Posterior Cervical Foraminotomy with Anterior Cervical Discectomy and Fusion in Radiculopathic Patients: An Analysis from the Quality Outcomes Database. Journal of Neurosurgery: Spine, 41, 56-68. [Google Scholar] [CrossRef] [PubMed]
[32] Zou, T., Wang, P., Chen, H., Feng, X. and Sun, H. (2022) Minimally Invasive Posterior Cervical Foraminotomy versus Anterior Cervical Discectomy and Fusion for Cervical Radiculopathy: A Meta-Analysis. Neurosurgical Review, 45, 3609-3618. [Google Scholar] [CrossRef] [PubMed]
[33] Ruetten, S., Komp, M., Merk, H. and Godolias, G. (2007) A New Full-Endoscopic Technique for Cervical Posterior Foraminotomy in the Treatment of Lateral Disc Herniations Using 6.9-Mm Endoscopes: Prospective 2-Year Results of 87 Patients. MIN—Minimally Invasive Neurosurgery, 50, 219-226. [Google Scholar] [CrossRef] [PubMed]
[34] Sun, X., Wang, C., Kong, Q., Zhang, B., Feng, P., Liu, J., et al. (2023) Channel-Assisted Cervical Key Hole Technology Combined with Ultrasonic Bone Osteotome versus Posterior Percutaneous Endoscopic Cervical Foraminotomy: A Clinical Retrospective Study. International Orthopaedics, 48, 547-553. [Google Scholar] [CrossRef] [PubMed]
[35] Toll, B.J. and Whitmore, R.G. (2023) Commentary: Anterior Cervical Discectomy and Fusion versus Microendoscopic Posterior Cervical Foraminotomy for Unilateral Cervical Radiculopathy: A 1-Year Cost-Utility Analysis. Neurosurgery, 93, e59-e60. [Google Scholar] [CrossRef] [PubMed]
[36] Akiyama, M. and Koga, H. (2020) Early Experience of Single Level Full Endoscopic Posterior Cervical Foraminotomy and Comparison with Microscope-Assisted Open Surgery. Journal of Spine Surgery, 6, 391-396. [Google Scholar] [CrossRef] [PubMed]
[37] Zhong, Z., Hu, Q., Huang, L., Zhang, S. and Zhou, M. (2023) Unilateral Biportal Endoscopic Posterior Cervical Foraminotomy: An Outcome Comparison with the Full-Endoscopic Posterior Cervical Foraminotomy. Clinical Spine Surgery: A Spine Publication, 37, 23-30. [Google Scholar] [CrossRef] [PubMed]
[38] Wang, D., Xu, J., Zhu, C., Zhang, W. and Pan, H. (2023) Comparison of Outcomes between Unilateral Biportal Endoscopic and Percutaneous Posterior Endoscopic Cervical Keyhole Surgeries. Medicina, 59, Article 437. [Google Scholar] [CrossRef] [PubMed]
[39] Kim, J., Heo, D.H., Lee, D.C. and Chung, H.T. (2021) Biportal Endoscopic Unilateral Laminotomy with Bilateral Decompression for the Treatment of Cervical Spondylotic Myelopathy. Acta Neurochirurgica, 163, 2537-2543. [Google Scholar] [CrossRef] [PubMed]
[40] Zhao, X., Ma, Y., Ma, H., Zhang, X. and Zhou, H. (2022) Clinical Efficacy of Posterior Percutaneous Endoscopic Unilateral Laminotomy with Bilateral Decompression for Symptomatic Cervical Spondylotic Myelopathy. Orthopaedic Surgery, 14, 876-884. [Google Scholar] [CrossRef] [PubMed]
[41] 张春霖, 张银鹤, 严旭, 等. 内镜下颈椎管成形术治疗脊髓型颈椎病[J]. 中华骨科杂志, 2017, 37(2): 89-95.

为你推荐