颈椎后凸畸形的分类与治疗进展
The Classification and Treatment Progress of Cervical Kyphosis Deformity
DOI: 10.12677/acm.2024.1492555, PDF,   
作者: 周一航*：西安医学院研工部，陕西 西安；李维新#：西安交通大学第一附属医院神经外科4病区，陕西 西安
关键词: 颈椎；后凸畸形；分类；诊疗方式；综述；Cervical Vertebra； Kyphosis Deformity； Classification； Treatment Methods； Literature Review
摘要: 多种诱因可以引起颈椎后凸畸形，颈椎后凸畸形发生时患者常伴有多种躯体不适症状，使患者生活质量下降，严重后凸畸形可能会对颈脊髓、神经根、椎动脉等结构产生压迫，造成不可逆的严重后果。本文旨在通过回顾近年来对颈椎后凸畸形的研究做一综述。明确颈椎后凸畸形病因分类及不同手术方式的效果，为今后相关研究提供参考借鉴。
Abstract: Cervical kyphosis deformity could be caused by multiple factors. Patients often experience various physical discomfort symptoms when the cervical kyphosis occurs. It can lead to a decrease in their quality of life. Severe kyphosis may compress structures such as the cervical spinal cord, nerve roots, and vertebral arteries, causing irreversible and serious consequences. This article aims to provide a review of recent research on cervical kyphosis deformity, clarify the classification of causes of cervical kyphosis deformity and the effects of different surgical methods and provide reference for future related research.
文章引用：周一航, 李维新. 颈椎后凸畸形的分类与治疗进展[J]. 临床医学进展, 2024, 14(9): 975-982. https://doi.org/10.12677/acm.2024.1492555

参考文献

[1] 方加虎, 周许辉, 袁文, 等. 颈椎后凸畸形患者影像学测量指标与临床症状的相关性研究[J]. 中国脊柱脊髓杂志, 2009, 19(8): 601-604.
[2] Loder, R.T. (2001) The Sagittal Profile of the Cervical and Lumbosacral Spine in Scheuermann Thoracic Kyphosis. Journal of Spinal Disorders, 14, 226-231. [Google Scholar] [CrossRef] [PubMed]
[3] Etame, A.B., Wang, A.C., Than, K.D., La Marca, F. and Park, P. (2010) Outcomes after Surgery for Cervical Spine Deformity: Review of the Literature. Neurosurgical Focus, 28, E14. [Google Scholar] [CrossRef] [PubMed]
[4] 贾连顺. 浅谈颈椎后凸畸形基本概念与诊断学基础[J]. 脊柱外科杂志, 2010, 8(2): 126-128.
[5] 周灵杰, 恽波, 殷建, 等. 颈椎后凸畸形患者颈椎曲度运动规律及与正常人重力线的比较[J]. 南京医科大学学报(自然科学版), 2016, 36(9): 1111-1115.
[6] 康志杰, 曹振华, 许阳阳, 等. 强直性脊柱炎腰椎-骶骨椎间盘有限元模型建立及应力分析[J]. 中国组织工程研究, 2024, 28(6): 840-846.
[7] Otsuka, N.Y., Hey, L. and Hall, J.D. (1998) Postlaminectomy and Postirradiation Kyphosis in Children and Adolescents. Clinical Orthopaedics and Related Research, 354, 189-194. [Google Scholar] [CrossRef] [PubMed]
[8] Laing, R.J., Seeley, H.M. and Hutch, P.J. (2001) Prospective Study of Clinical and Radiological Outcome after Anterior Cervical Discectomy. British Journal of Neurosurgery, 15, 319-323. [Google Scholar] [CrossRef] [PubMed]
[9] Mcmaster, M.J. and Singh, H. (1999) Natural History of Congenital Kyphosis and Kyphoscoliosis. a Study of One Hundred and Twelve Patients. The Journal of Bone & Joint Surgery, 81, 1367-1383. [Google Scholar] [CrossRef] [PubMed]
[10] Martín-Martín, M., Cortés-Martín, J., Tovar-Gálvez, M.I., Sánchez-García, J.C., Díaz-Rodríguez, L. and Rodríguez-Blanque, R. (2022) Ehlers-Danlos Syndrome Type Arthrochalasia: A Systematic Review. International Journal of Environmental Research and Public Health, 19, Article 1870. [Google Scholar] [CrossRef] [PubMed]
[11] Ritelli, M. and Colombi, M. (2020) Molecular Genetics and Pathogenesis of Ehlers-Danlos Syndrome and Related Connective Tissue Disorders. Genes, 11, Article 547. [Google Scholar] [CrossRef] [PubMed]
[12] Grahame, R. (2016) Ehlers-Danlos Syndrome. South African Medical Journal, 106, S45-S46. [Google Scholar] [CrossRef] [PubMed]
[13] Health Quality Ontario (2015) Positional Magnetic Resonance Imaging for People with Ehlers-Danlos Syndrome or Suspected Craniovertebral or Cervical Spine Abnormalities: An Evidence-Based Analysis. Ontario Health Technology Assessment Series, 15, 1-24.
[14] Salmon, J.M. and Kilpatrick, S.E. (2000) Pathology of Skeletal Metastases. Orthopedic Clinics of North America, 31, 537-544. [Google Scholar] [CrossRef] [PubMed]
[15] 肖建如, 贾连顺. 脊柱转移性肿瘤的外科治疗策略[J]. 中华骨科杂志, 2003, 23(1): 17-21.
[16] Bagcchi, S. (2023) Who’s Global Tuberculosis Report 2022. The Lancet Microbe, 4, e20. [Google Scholar] [CrossRef] [PubMed]
[17] 杨丽佳. 结核病空间分布特征及其影响因素的研究[D]: [硕士学位论文]. 北京: 中国疾控中心结控中心, 2020.
[18] 杨旋. 2004-2014年全国肺结核流行特征分析与多地区发病预测研究[D]: [硕士学位论文]. 兰州: 兰州大学, 2017.
[19] Rajasekaran, S. (2012) Kyphotic Deformity in Spinal Tuberculosis and Its Management. International Orthopaedics, 36, 359-365. [Google Scholar] [CrossRef] [PubMed]
[20] Peralta Fernández, G. (2009) Tuberculosis de cabeza y cuello. Acta Otorrinolaringológica Española, 60, 59-66. [Google Scholar] [CrossRef] [PubMed]
[21] Chiesa Estomba, C.M., Betances Reinoso, F.A., Rivera Schmitz, T., Ossa Echeverri, C.C., González Cortés, M.J. and Santidrian Hidalgo, C. (2016) Head and Neck Tuberculosis: 6-Year Retrospective Study. Acta Otorrinolaringologica (English Edition), 67, 9-14. [Google Scholar] [CrossRef] 
[22] Rossetti, C.A., Arenas-Gamboa, A.M. and Maurizio, E. (2017) Caprine Brucellosis: A Historically Neglected Disease with Significant Impact on Public Health. PLOS Neglected Tropical Diseases, 11, e0005692. [Google Scholar] [CrossRef] [PubMed]
[23] Colmenero, J.D., Ruiz-Mesa, J.D., Plata, A., Bermudez, P., Martin-Rico, P., Queipo-Ortuno, M.I., et al. (2008) Clinical Findings, Therapeutic Approach, and Outcome of Brucellar Vertebral Osteomyelitis. Clinical Infectious Diseases, 46, 426-433. [Google Scholar] [CrossRef] [PubMed]
[24] 佘慧平, 张文, 常跃良, 等. 布氏杆菌性脊柱炎的流行病学分析[J]. 宁夏医学杂志, 2022, 44(10): 891-894.
[25] 张宏其, 袁丹, 刘少华, 等. 重度僵硬型非角状颈椎后凸畸形的手术治疗[J]. 中国脊柱脊髓杂志, 2008, 18(4): 266-269.
[26] O’Shaughnessy, B.A., Liu, J.C., Hsieh, P.C., Koski, T.R., Ganju, A. and Ondra, S.L. (2008) Surgical Treatment of Fixed Cervical Kyphosis with Myelopathy. Spine, 33, 771-778. [Google Scholar] [CrossRef] [PubMed]
[27] Guigui, P., Benoist, M. and Deburge, A. (1998) Spinal Deformity and Instability after Multilevel Cervical Laminectomy for Spondylotic Myelopathy. Spine, 23, 440-447. [Google Scholar] [CrossRef] [PubMed]
[28] 钟沃权, 姜亮, 孙宇, 等. 单纯前路与前后联合入路矫形手术治疗重度颈椎后凸畸形[J]. 中国脊柱脊髓杂志, 2012, 22(3): 235-240.
[29] 李峰, 李文化. X线片在颈椎病诊断与治疗中的应用分析[J]. 临床医药文献电子杂志, 2018, 5(90): 146-147.
[30] Liu, Y., Chen, Y., Yang, L., Zhou, X., Wang, C., Qi, M., et al. (2012) The Surgical Treatment and Related Management for Post-Tubercular Kyphotic Deformity of the Cervical Spine or the Cervico-Thoracic Spine. International Orthopaedics, 36, 367-372. [Google Scholar] [CrossRef] [PubMed]
[31] Arsh, A., Darain, H., Iqbal, M., Rahman, M., Ullah, I. and Khalid, S. (2020) Effectiveness of Manual Therapy to the Cervical Spine with and without Manual Therapy to the Upper Thoracic Spine in the Management of Non-Specific Neck Pain; a Randomized Controlled Trial. Journal of the Pakistan Medical Association, 70, 399-403.
[32] Cho, J., Lee, E. and Lee, S. (2017) Upper Thoracic Spine Mobilization and Mobility Exercise versus Upper Cervical Spine Mobilization and Stabilization Exercise in Individuals with Forward Head Posture: A Randomized Clinical Trial. BMC Musculoskeletal Disorders, 18, Article No. 525. [Google Scholar] [CrossRef] [PubMed]
[33] Childress, M.A. and Becker, B.A. (2016) Nonoperative Management of Cervical Radiculopathy. American Family Physician, 93, 746-754.
[34] 张立, 孙宇, 张凤山, 等. 颈椎牵引预矫形结合手术矫形治疗重度颈椎后凸畸形[J]. 中国脊柱脊髓杂志, 2018, 28(8): 698-704.
[35] Han, K., Lu, C., Li, J., Xiong, G., Wang, B., Lv, G., et al. (2010) Surgical Treatment of Cervical Kyphosis. European Spine Journal, 20, 523-536. [Google Scholar] [CrossRef] [PubMed]
[36] 袁文. 重视颈椎后凸畸形的评估与手术原则[J]. 中国脊柱脊髓杂志, 2021, 31(12): 1060-1064.
[37] Gadia, A., Shah, K. and Nene, A. (2019) Cervical Kyphosis. Asian Spine Journal, 13, 163-172. [Google Scholar] [CrossRef] [PubMed]
[38] Cho, S.K., Safir, S., Lombardi, J.M. and Kim, J.S. (2019) Cervical Spine Deformity: Indications, Considerations, and Surgical Outcomes. Journal of the American Academy of Orthopaedic Surgeons, 27, e555-e567. [Google Scholar] [CrossRef] [PubMed]
[39] 李隽, 徐辉, 施晓玲. 颈前路椎体内固定术后迟发性食管瘘医疗损害鉴定1例[J]. 中国法医学杂志, 2023, 38(5): 587-589.
[40] 刘伟东, 曹亚飞, 高坤, 等. 不同入路方式在脊髓型颈椎病伴后凸畸形手术中的应用效果对比[J]. 组织工程与重建外科杂志, 2020, 16(4): 315-318.
[41] Liu, X., Chen, Y., Yang, H., Li, T., Xu, H., Xu, B., et al. (2016) The Application of a New Type of Titanium Mesh Cage in Hybrid Anterior Decompression and Fusion Technique for the Treatment of Continuously Three-Level Cervical Spondylotic Myelopathy. European Spine Journal, 26, 122-130. [Google Scholar] [CrossRef] [PubMed]
[42] 刘浩, 洪瑛, 孟阳, 等. 颈前路减压术后不放置引流管的临床疗效及安全性研究[J]. 中华骨与关节外科杂志, 2024, 17(3): 214-219.
[43] 黄伟, 王华东, 郭继东, 等. 青少年颈椎长节段严重后凸畸形手术方案的个体化选择[J]. 中国医药导报, 2012, 9(3): 156-158.
[44] Song, K.-J., Johnson, J.S., Choi, B.-R., et al. (2010) Anterior Fusion Alone Compared with Combined Anterior and Posterior Fusion for the Treatment of Degenerative Cervical Kyphosis. The Journal of Bone and Joint Surgery, 92, 1548-1552. [Google Scholar] [CrossRef] [PubMed]
[45] 关晓明, 马迅, 冯皓宇, 等. 多节段脊髓型颈椎病伴后凸畸形不同入路方式的选择及疗效[J]. 中国脊柱脊髓杂志, 2016, 26(6): 481-487.
[46] 张广兴. 后路颈椎间盘突出切除术治疗创伤性陈旧性脊柱骨折所致颈椎后凸畸形的效果分析[J]. 当代医药论丛, 2017, 15(1): 64-65.
[47] 方加虎, 贾连顺, 周许辉, 等. 颈椎后凸畸形的临床特征和外科治疗策略[J]. 中华外科杂志, 2010, 48(20): 1546-1549.
[48] 李洋, 邹福建, 邓雷, 等. 颈椎管内外沟通性肿瘤一期全切的手术治疗策略[J]. 临床神经外科杂志, 2023, 20(1): 28-35.
[49] Shah, K.C., Gadia, A., Pawar, U. and Nene, A. (2018) Cervical Gibbectomy for Rigid, Rounded Kyphosis in Pediatric Patient: Surgical Planning with Technical Note. World Neurosurgery, 116, 357-361. [Google Scholar] [CrossRef] [PubMed]
[50] Sasso, R.C., Ruggiero, R.A., Reilly, T.M. and Hall, P.V. (2003) Early Reconstruction Failures after Multilevel Cervical Corpectomy. Spine, 28, 140-142. [Google Scholar] [CrossRef] [PubMed]
[51] Landi, A. (2014) 360˚ Fusion for Realignment of High Grade Cervical Kyphosis by One Step Surgery: Case Report. World Journal of Clinical Cases, 2, 289-292. [Google Scholar] [CrossRef] [PubMed]

为你推荐