Vertebral Body Sliding Osteotomy for Cervical Myelopathy With Rigid Kyphosis

被引:15
|
作者
Lee, Dong-Ho [1 ]
Park, Sehan [2 ]
Lee, Woon Sang [1 ]
Byun, Chan Woong [1 ]
Seok, Sang Yun [1 ]
Cho, Jae Hwan [1 ]
Hwang, Chang Ju [1 ]
Lee, Choon Sung [1 ]
Lee, Hyung Rae [1 ]
机构
[1] Univ Ulsan, Asan Med Ctr, Dept Orthoped Surg, Coll Med, 88 Olymp Ro 43 Gil, Seoul 05505, South Korea
[2] Dongguk Univ, Dept Orthoped Surg, Ilsan Hosp, Goyang, South Korea
关键词
Cervical deformity; Cervical lordosis; Cervical myelopathy; Sagittal alignment; Vertebral body sliding osteotomy; POSTERIOR LONGITUDINAL LIGAMENT; SPONDYLOTIC MYELOPATHY; KYPHOTIC DEFORMITY; SURGICAL-TREATMENT; FOLLOW-UP; OSSIFICATION; CORPECTOMY; FUSION; SPINE; DECOMPRESSION;
D O I
10.14245/ns.2040482.241
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Cervical spondylotic myelopathy is surgically demanding when associated with rigid kyphosis. Posterior surgery cannot restore cervical lordosis, and adequate decompression is not possible with rigid kyphosis. Vertebral body sliding osteotomy (VBSO) is a safe and novel technique for anterior decompression in patients with multilevel cervical spondylotic myelopathy. It is safe in terms of dural tear, pseudarthrosis, and graft dislodgement, which are demonstrated at high rates in anterior cervical corpectomy and fusion. In addition, VBSO is a powerful method for restoring cervical lordosis through multilevel anterior cervical discectomy and fusion above and below the osteotomy level. It may be a feasible treatment option for patients with cervical spondylotic myelopathy and kyphotic deformity. This is a technical note and literature review that describes the procedures involved in VBSO.
引用
收藏
页码:640 / 647
页数:8
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