作者投稿
专家审稿
编辑办公
邮件订阅
RSS
-
摘要: 深入认识颈椎矢状面曲度对进一步研究颈椎病、邻椎病的发病机制以及提高手术疗效具有重要作用。但既往文献中, 关于胸腰椎曲度与患者生活质量或功能状态关系的研究较多, 而有关颈椎曲度的研究相对较少, 有必要进行大宗病例的前瞻性研究。本文对颈椎曲度的测量方法、颈椎正常曲度、颈椎曲度对颈椎病及邻椎病的影响、颈椎曲度与临床疗效的关系等进行综述, 以期为脊柱外科医生了解和治疗颈椎疾病提供参考。Abstract: Further understanding of the sagittal curvature of the cervical spine plays an important role in the study of the pathogenesis of cervical spondylosis and adjacent spondylosis, as well as in improving the surgical effect. In the past literature, there have been many studies on the relationship between the thoracolumbar curvature and patients' quality of life or functional status, while there are few studies related to cervical curvature, So it is necessary to carry out prospective studies with a large number of cases. This article reviews the measurement method of cervical curvature, the normal curvature of the cervical spine, the relationship of cervical curvature with cervical spondylosis and clinical effects, etc., so as to provide a reference for spine surgeons to understand and treat cervical spondylosis.
-
Key words:
- cervical curvature /
- sagittal plane /
- cervical spondylosis
利益冲突 无 -
图 2 C2-7 SVA为C7椎体后上缘与经过C2椎体中央或齿突的铅垂线之间的距离，COG-C7 SVA为C7椎体后上缘与头颅重力线之间的垂直距离
SVA:矢状面垂直轴；COG:重力线
-
[1] Yoganandan N, Maiman DJ, Guan Y, et al. Importance of physical properties of the human head on head-neck injury metrics[J]. Traffic Inj Prev, 2009, 10:488-496. [2] Pal GP, Sherk HH. The vertical stability of the cervical spine[J]. Spine (Phila Pa 1976), 1988, 13:447-449. [3] Scheer JK, Tang JA, Smith JS, et al. Cervical spine alignment, sagittal deformity, and clinical implications:a review[J]. J Neurosurg Spine, 2013, 19:141-159. https://pubmed.ncbi.nlm.nih.gov/23768023/ [4] Harrison DE, Harrison DD, Cailliet R, et al. Cobb method or Harrison posterior tangent method:which to choose for lateral cervical radiographic analysis[J]. Spine (Phila Pa 1976), 2000, 25:2072-2078. https://www.ncbi.nlm.nih.gov/pubmed/10954638 [5] Jackson R. The Cervical Syndrome[M]. 2nd ed. Springfield, IL: Charles C. Thomas, 1958: 4-26. [6] Mac-Thiong JM, Transfeldt EE, Mehbod AA, et al. Can c7 plumbline and gravity line predict health related quality of life in adult scoliosis?[J]. Spine (Phila Pa 1976), 2009, 34:E519-E527. https://www.ncbi.nlm.nih.gov/pubmed/19564757/ [7] Tang JA, Scheer JK, Smith JS, et al. The impact of standing regional cervical sagittal alignment on outcomes in posterior cervical fusion surgery[J]. Neurosurgery, 2015, 76 Suppl 1:S14-S21, S21. https://pubmed.ncbi.nlm.nih.gov/25692364/ [8] Suk KS, Kim KT, Lee SH, et al. Significance of chin-brow vertical angle in correction of kyphotic deformity of ankylosing spondylitis patients[J]. Spine (Phila Pa 1976), 2003, 28:2001-2005. [9] Lee SH, Kim KT, Seo EM, et al. The influence of thoracic inlet alignment on the craniocervical sagittal balance in asymptomatic adults[J]. J Spinal Disord Tech, 2012, 25:E41-E47. [10] Xing R, Zhou G, Chen Q, et al. MRI to measure cervical sagittal parameters:a comparison with plain radiographs[J]. Arch Orthop Trauma Surg, 2017, 137:451-455. doi: 10.1007/s00402-017-2639-5 [11] Abelin-Genevois K, Idjerouidene A, Roussouly P, et al. Cervical spine alignment in the pediatric population:a radiographic normative study of 150 asymptomatic patients[J]. Eur Spine J, 2014, 23:1442-1448. doi: 10.1007/s00586-013-3150-5 [12] Yukawa Y, Kato F, Suda K, et al. Age-related changes in osseous anatomy, alignment, and range of motion of the cervical spine. Part Ⅰ:Radiographic data from over 1, 200 asymptomatic subjects[J]. Eur Spine J, 2012, 21:1492-1498. [13] Hardacker JW, Shuford RF, Capicotto PN, et al. Radiographic standing cervical segmental alignment in adult volunteers without neck symptoms[J]. Spine (Phila Pa 1976), 1997, 22:1472-1480, 1480. [14] Takeshima T, Omokawa S, Takaoka T, et al. Sagittal alignment of cervical flexion and extension:lateral radiographic analysis[J]. Spine (Phila Pa 1976), 2002, 27:E348-E355. https://chiro.org/research/ABSTRACTS/Sagittal_Alignment.shtml [15] Yu M, Zhao WK, Li M, et al. Analysis of cervical and global spine alignment under Roussouly sagittal classification in Chinese cervical spondylotic patients and asymptomatic subjects[J]. Eur Spine J, 2015, 24:1265-1273. doi: 10.1007/s00586-015-3832-2 [16] Deviren V, Scheer JK, Ames CP. Technique of cervicothoracic junction pedicle subtraction osteotomy for cervical sagittal imbalance:report of 11 cases[J]. J Neurosurg Spine, 2011, 15:174-181. https://thejns.org/spine/view/journals/j-neurosurg-spine/15/2/article-p174.xml [17] Kim KT, Lee SH, Son ES, et al. Surgical treatment of "chin-on-pubis" deformity in a patient with ankylosing spondylitis:a case report of consecutive cervical, thoracic, and lumbar corrective osteotomies[J]. Spine (Phila Pa 1976), 2012, 37:E1017-E1021. [18] Kim KT, Suk KS, Cho YJ, et al. Clinical outcome results of pedicle subtraction osteotomy in ankylosing spondylitis with kyphotic deformity[J]. Spine (Phila Pa 1976), 2002, 27:612-618. [19] Pigge RR, Scheerder FJ, Smit TH, et al. Effectiveness of preoperative planning in the restoration of balance and view in ankylosing spondylitis[J]. Neurosurg Focus, 2008, 24:E7. https://research.vu.nl/files/3175701/289261.pdf [20] Wang Y, Zhang Y, Mao K, et al. Transpedicular biverte-brae wedge osteotomy and discectomy in lumbar spine for severe ankylosing spondylitis[J]. J Spinal Disord Tech, 2010, 23:186-191. [21] Wang VY, Chou D. The cervicothoracic junction[J]. Neurosurg Clin N Am, 2007, 18:365-371. [22] Knott PT, Mardjetko SM, Techy F. The use of the T1 sagittal angle in predicting overall sagittal balance of the spine[J]. Spine J, 2010, 10:994-998. https://www.sciencedirect.com/science/article/pii/S1529943010011502 [23] Ames CP, Blondel B, Scheer JK, et al. Cervical radiographical alignment:comprehensive assessment techniques and potential importance in cervical myelopathy[J]. Spine (Phila Pa 1976), 2013, 38:S149-S160. https://pubmed.ncbi.nlm.nih.gov/24113358/ [24] Albert TJ, Vacarro A. Postlaminectomy kyphosis[J]. Spine (Phila Pa 1976), 1998, 23:2738-2745. [25] Deutsch H, Haid RW, Rodts GE, et al. Postlaminectomy cervical deformity[J]. Neurosurg Focus, 2003, 15:E5. [26] Shimizu K, Nakamura M, Nishikawa Y, et al. Spinal kyphosis causes demyelination and neuronal loss in the spinal cord:a new model of kyphotic deformity using juvenile Japanese small game fowls[J]. Spine (Phila Pa 1976), 2005, 30:2388-2392. [27] Kim TH, Lee SY, Kim YC, et al. T1 slope as a predictor of kyphotic alignment change after laminoplasty in patients with cervical myelopathy[J]. Spine (Phila Pa 1976), 2013, 38:E992-E997. [28] Sakai K, Yoshii T, Hirai T, et al. Cervical Sagittal Imbalance is a Predictor of Kyphotic Deformity After Laminoplasty in Cervical Spondylotic Myelopathy Patients Without Preoperative Kyphotic Alignment[J]. Spine (Phila Pa 1976), 2016, 41:299-305. https://pubmed.ncbi.nlm.nih.gov/26579963/ [29] Hilibrand AS, Robbins M. Adjacent segment degeneration and adjacent segment disease:the consequences of spinal fusion?[J]. Spine J, 2004, 4:190S-194S. https://www.ncbi.nlm.nih.gov/pubmed/15541666 [30] Park DH, Ramakrishnan P, Cho TH, et al. Effect of lower two-level anterior cervical fusion on the superior adjacent level[J]. J Neurosurg Spine, 2007, 7:336-340. https://www.ncbi.nlm.nih.gov/pubmed/17877270 [31] Prasarn ML, Baria D, Milne E, et al. Adjacent-level biomechanics after single versus multilevel cervical spine fusion[J]. J Neurosurg Spine, 2012, 16:172-177. [32] Ragab AA, Escarcega AJ, Zdeblick TA. A quantitative analysis of strain at adjacent segments after segmental immobilization of the cervical spine[J]. J Spinal Disord Tech, 2006, 19:407-410. https://www.ncbi.nlm.nih.gov/pubmed/16891975 [33] Schwab JS, Diangelo DJ, Foley KT. Motion compensation associated with single-level cervical fusion:where does the lost motion go?[J]. Spine (Phila Pa 1976), 2006, 31:2439-2448. [34] Rihn JA, Lawrence J, Gates C, et al. Adjacent segment disease after cervical spine fusion[J]. Instr Course Lect, 2009, 58:747-756. [35] Hutton WC, Toribatake Y, Elmer WA, et al. The effect of compressive force applied to the intervertebral disc in vivo. A study of proteoglycans and collagen[J]. Spine (Phila Pa 1976), 1998, 23:2524-2537. [36] Katsuura A, Hukuda S, Saruhashi Y, et al. Kyphotic malalignment after anterior cervical fusion is one of the factors promoting the degenerative process in adjacent intervertebral levels[J]. Eur Spine J, 2001, 10:320-324. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3611517/ [37] Park MS, Kelly MP, Lee DH, et al. Sagittal alignment as a predictor of clinical adjacent segment pathology requiring surgery after anterior cervical arthrodesis[J]. Spine J, 2014, 14:1228-1234. https://www.sciencedirect.com/science/article/pii/S1529943013015854 [38] Bridwell KH, Baldus C, Berven S, et al. Changes in radiographic and clinical outcomes with primary treatment adult spinal deformity surgeries from two years to three-to five-years follow-up[J]. Spine (Phila Pa 1976), 2010, 35:1849-1854. https://www.ncbi.nlm.nih.gov/pubmed/20802383 [39] Glassman SD, Bridwell K, Dimar JR, et al. The impact of positive sagittal balance in adult spinal deformity[J]. Spine (Phila Pa 1976), 2005, 30:2024-2029. [40] Schwab F, Farcy JP, Bridwell K, et al. A clinical impact classification of scoliosis in the adult[J]. Spine (Phila Pa 1976), 2006, 31:2109-2114. https://www.ncbi.nlm.nih.gov/pubmed/16915098 [41] Schwab FJ, Smith VA, Biserni M, et al. Adult scoliosis:a quantitative radiographic and clinical analysis[J]. Spine (Phila Pa 1976), 2002, 27:387-392. http://ci.nii.ac.jp/naid/10016392329 [42] Naderi S, Ozgen S, Pamir MN, et al. Cervical spondylotic myelopathy:surgical results and factors affecting prognosis[J]. Neurosurgery, 1998, 43:43-49, 49-50. https://academic.oup.com/neurosurgery/article-abstract/43/1/43/2856607 [43] Villavicencio AT, Babuska JM, Ashton A, et al. Pro-spective, randomized, double-blind clinical study evaluating the correlation of clinical outcomes and cervical sagittal alignment[J]. Neurosurgery, 2011, 68:1309-1316, 1316. [44] Guerin P, Obeid I, Gille O, et al. Sagittal alignment after single cervical disc arthroplasty[J]. J Spinal Disord Tech, 2012, 25:10-16. https://www.ncbi.nlm.nih.gov/pubmed/22124426 [45] Lee CK, Shin DA, Yi S, et al. Correlation between cervical spine sagittal alignment and clinical outcome after cervical laminoplasty for ossification of the posterior longitudinal ligament[J]. J Neurosurg Spine, 2016, 24:100-107. https://www.ncbi.nlm.nih.gov/pubmed/26431070 [46] Glassman SD, Berven S, Bridwell K, et al. Correlation of radiographic parameters and clinical symptoms in adult scoliosis[J]. Spine (Phila Pa 1976), 2005, 30:682-688. https://www.ncbi.nlm.nih.gov/pubmed/15770185/ [47] Tang JA, Scheer JK, Smith JS, et al. The impact of standing regional cervical sagittal alignment on outcomes in posterior cervical fusion surgery[J]. Neurosurgery, 2012, 71:662-669, 669. https://pubmed.ncbi.nlm.nih.gov/25692364/ [48] Smith JS, Lafage V, Ryan DJ, et al. Association of myelopathy scores with cervical sagittal balance and normalized spinal cord volume:analysis of 56 preoperative cases from the AOSpine North America Myelopathy study[J]. Spine (Phila Pa 1976), 2013, 38:S161-S170. https://www.researchgate.net/publication/256072026_Association_of_Myelopathy_Scores_With_Cervical_Sagittal_Balance_and_Normalized_Spinal_Cord_Volume_Analysis_of_56_Preoperative_Cases_From_the_AOSpine_North_America_Myelopathy_Study [49] Roguski M, Benzel EC, Curran JN, et al. Postoperative cervical sagittal imbalance negatively affects outcomes after surgery for cervical spondylotic myelopathy[J]. Spine (Phila Pa 1976), 2014, 39:2070-2077. [50] Iyer S, Nemani VM, Nguyen J, et al. Impact of Cervical Sagittal Alignment Parameters on Neck Disability[J]. Spine (Phila Pa 1976), 2016, 41:371-377. [51] Oshima Y, Takeshita K, Taniguchi Y, et al. Effect of Preoperative Sagittal Balance on Cervical Laminoplasty Outcomes[J]. Spine (Phila Pa 1976), 2016, 41:E1265-E1270. https://www.ncbi.nlm.nih.gov/pubmed/27054450 [52] Steinmetz MP, Stewart TJ, Kager CD, et al. Cervical deformity correction[J]. Neurosurgery, 2007, 60:S90-S97. [53] Hwang SW, Samdani AF, Tantorski M, et al. Cervical sagittal plane decompensation after surgery for adolescent idiopathic scoliosis:an effect imparted by postoperative thoracic hypokyphosis[J]. J Neurosurg Spine, 2011, 15:491-496. https://thejns.org/spine/view/journals/j-neurosurg-spine/15/5/article-p491.xml [54] Langeloo DD, Journee HL, Pavlov PW, et al. Cervical osteotomy in ankylosing spondylitis:evaluation of new developments[J]. Eur Spine J, 2006, 15:493-500. doi: 10.1007/s00586-005-0945-z -
下载:
点击查看大图
图(3) / 表(2)
计量
- 文章访问数: 452
- HTML全文浏览量: 18
- PDF下载量: 184
- 被引次数: 0
