| 摘要: |
| 颈椎在脊柱中活动度最大，其发生病变带来的生活质量下降也在脊柱疾患中最严重。颈椎畸形较之于其他颈椎疾患症状更为严重且预后较差。本文简述了颈椎畸形的分类及病因、影像学参数的测量与评估、临床治疗选择和预后，并阐述了其评估系统和手术治疗现状。对于颈椎畸形而言，目前尚缺乏普遍接受的分类和评估系统，手术指征也不明确，尚待进一步探索。 |
| 关键词: 颈椎畸形 后凸畸形 矢状位失衡 截骨 |
| DOI：10.16781/j.CN31-2187/R.20210481 |
| 投稿时间：2021-05-08修订日期：2021-08-26 |
| 基金项目:国家自然科学基金（81972035）. |
|
| Evaluation and treatment of cervical deformity: current status |
| WU Hao-ran,LI Bo,CHEN Kai,CHEN Shao-feng,LI Ming* |
(Department of Spine Surgery, The First Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai 200433, China
*Corresponding author) |
| Abstract: |
| The cervical vertebra has the maximum range of motion in the spine, and the decline of quality of life caused by cervical vertebra-related diseases is the most serious one among spinal diseases. Compared with other spinal diseases, cervical deformity has more serious symptoms and poor prognosis. This paper briefly summarizes the classification and etiology of the disease, the measurement and evaluation of imaging parameters, the selection of clinical treatment and the prognosis, and describes the evaluation system and surgical treatment. At present, there is a lack of generally accepted classification system, evaluation system and clear surgical indications for cervical deformities, which needs to be further explored. |
| Key words: cervical deformity kyphosis sagittal imbalance osteotomy |
