颈椎矢状位平衡在颈椎病诊断和治疗方式选择中应用的研究进展

Abstract
Figure/Table
References (33)
Related Citation (15)

Download: PDF (606 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract The normal shape of the cervical spine is physiological sagittal lordosis, and the sagittal balance of the cervical spine can reflect the arrangement of the cervical spine in the sagittal position. By evaluating the sagittal balance of the cervical spine, it can not only reflect the degeneration of the cervical spine to a certain extent, but also help spine surgeons choose and formulate relevant treatment methods. This article reviews the relevant literature at home and abroad in recent years, and provides the latest review of the sagittal balance of the cervical spine. This paper reviews the application of cervical spin sagittal balance in the diagnosis of cervical spondylosis and selection of related treatment methods, including the measurement and significance of cervical sagittal parameters, clinical evaluation, conservative treatment, and surgical treatment selection.

Key words： Cervical vertebrae Sagittal balance X-ray Spinal fusion

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	JI Chunlei1 MA Xun2▲ LI Qiang2

Cite this article:

JI Chunlei1 MA Xun2▲ LI Qiang2. Research progress in the application of cervical spin sagittal balance in the diagnosis and treatment of cervical spondylosis[J]. 中国医药导报, 2022, 19(22): 46-49,65.

URL:

https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I22/46

[1] Kwon WK，Kim PS，Ahn SY，et al. Analysis of Associating Factors With C2-7 Sagittal Vertical Axis After Two-level Anterior Cervical Fusion：Comparison Between Plate Augmentation and Stand-alone Cages [J]. Spine （Phila Pa 1976），2017，42（5）：318-325.
[2] Patwardhan AG，Khayatzadeh S，Havey RM，et al. Cervical sagittal balance：a biomechanical perspective can help clinical practice [J]. Eur Spine J，2018，27（Suppl 1）：25-38.
[3] Nicholson KJ，Millhouse PW，Pflug E，et al. Cervical Sagittal Range of Motion as a Predictor of Symptom Severity in Cervical Spondylotic Myelopathy [J]. Spine （Phila Pa 1976），2018，43（13）：883-889.
[4] Pan Y，Ma X，Feng H，et al. Effect of posterior cervical expansive open-door laminoplasty on cervical sagittal balance [J]. Eur Spine J，2020，29（11）：2831-2837.
[5] Xu C，Shen Q，Xu J，et al. Comparison of Cervical Sagittal Parameters Between Radiographs and Magnetic Resonance Images in Patients With Cervical Spondylotic Myelopathy [J]. Global Spine J，2021：21925682211062498.
[6] Tamai K，Buser Z，Paholpak P，et al. Can C7 Slope Substitute the T1 slope?：An Analysis Using Cervical Radiographs and Kinematic MRIs [J]. Spine （Phila Pa 1976），2018，43（7）：520-525.
[7] Jouibari MF，Le Huec JC，Ranjbar Hameghavandi MH，et al. Comparison of cervical sagittal parameters among patients with neck pain and healthy controls：a comparative cross-sectional study [J]. Eur Spine J，2019，28（10）：2319-2324.
[8] Lin T，Wang Z，Chen G，et al. In Reply to the Letter to the Editor Regarding “Is Cervical Sagittal Balance Related to the Progression of Patients with Cervical Spondylotic Myelopathy?” [J]. World Neurosurg，2020，139：673.
[9] 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（3）：662-669.
[10] Tamai K，Grisdela P，Romanu J，et al. Kinematic characteristics of patients with cervical imbalance：a weight-bearing dynamic MRI study [J]. Eur Spine J，2019，28（5）：1200-1208.
[11] 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（4）：299-305.
[12] Xing R，Liu W，Li X，et al. Characteristics of cervical sagittal parameters in healthy cervical spine adults and patients with cervical disc degeneration [J]. BMC Musculoskelet Disord，2018，19（1）：37.
[13] Miyazaki M，Ishihara T，Notani N，et al. Relationship of T1 slope with loss of lordosis and surgical outcomes after laminoplasty for cervical ossification of the posterior longitudinal ligament [J]. Clin Neurolog Neurosurg，2018， 164：19-24.
[14] Lin T，Wang Z，Chen G，et al. Predictive Effect of Cervical Sagittal Parameters on Conservative Treatment of Single-Segment Cervical Spondylotic Radiculopathy [J]. World Neurosurg，2020，134：e1028-e1036.
[15] Godlewski B，Stachura MK，Czepko RA，et al. Analysis of changes in cervical spinal curvature and intervertebral disk space height following ACDF surgery in a group of 100 patients followed up for 12 months [J]. J Clin Neurosci，2018，52：92-99.
[16] Zhang Y，Liu H，Yang H，et al. Relationship Between Sagittal Balance and Axial Symptoms in Patients with Cervical Spondylotic Myelopathy Treated with Anterior Cervical Discectomy and Fusion [J]. J Invest Surg，2020，33（5）：404-411.
[17] Reinas R，Kitumba D，Pereira L，et al. Multilevel cervical arthroplasty-clinical and radiological outcomes [J]. J Spine Surg，2020，6（1）：233-242.
[18] 刘涛，邱水强，黄宇峰，等.颈前路椎间融合术后矢状位参数变化与临床疗效的相关性研究[J].中华骨科杂志，2018，38（2）：79-85.
[19] Zhang J，Liu H，Bou EH，et al. Comparative Study Between Anterior Cervical Discectomy and Fusion with ROI-C Cage and Laminoplasty for Multilevel Cervical Spondylotic Myelopathy without Spinal Stenosis [J]. World Neurosurg，2019，121：e917-e924.
[20] Zhou P，Zong L，Wu Q，et al. Analysis of Cervical Sagittal Balance in Treating Cervical Spondylotic Myelopathy：1-Level Anterior Cervical Corpectomy and Fusion Versus 2-Level Anterior Cervical Discectomy and Fusion [J]. Med Sci Monit，2020，26：e923748.
[21] 余文超，袁文，陈华江，等.脊髓型颈椎病颈前路手术对术后颈椎矢状位平衡参数的影响[J].中华骨科杂志，2018，38（21）：1285-1292.
[22] 顾一飞，曹鹏，陈华江，等.老年多节段脊髓型颈椎病矢状面平衡特点及手术入路比较[J].脊柱外科杂志，2020， 18（4）：253-257.
[23] Donk RD，Arnts H，Verhagen W，et al. Cervical sagittal alignment after different anterior discectomy procedures for single-level cervical degenerative disc disease：randomized controlled trial [J]. Acta Neurochirurgica，2017， 159（12）：2359-2365.
[24] Chen Y，Sun J，Yuan X，et al. Comparison of Anterior Controllable Antedisplacement and Fusion With Posterior Laminoplasty in the Treatment of Multilevel Cervical Ossification of the Posterior Longitudinal Ligament：A Prospective，Randomized，and Control Study With at Least 1-Year Follow Up [J]. Spine （Phila Pa 1976），2020， 45（16）：1091-1101.
[25] Wang Z，Wang ZW，Fan XW，et al. Influence of SCA on clinical outcomes and cervical alignment after laminoplasty in patients with multilevel cervical spondylotic myelopathy [J]. J Orthop Surg Res，2021，16（1）：49.
[26] 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（16）：E992-E997.
[27] Huang Y，Lan Z，Xu W. Analysis of sagittal alignment parameters following anterior cervical hybrid decompression and fusion of multilevel cervical Spondylotic myelopathy [J]. BMC Musculoskelet Disord，2019，20（1）：1.
[28] Brasil AVB，Fruett Da Costa PR，Vial ADM，et al. Cervicothoracic Lordosis Can Influence Outcome After Posterior Cervical Spine Surgery [J]. Open Orthop J，2018，12：91-98.
[29] Kato M，Namikawa T，Matsumura A，et al. Effect of Cervical Sagittal Balance on Laminoplasty in Patients With Cervical Myelopathy [J]. Global Spine J，2017，7（2）：154-161.
[30] Xiong W，Zhou J，Sun C，et al. 0.5- to 1-Fold Intervertebral Distraction Is a Protective Factor for Adjacent Segment Degeneration in Single-level Anterior Cervical Discectomy and Fusion [J]. Spine （Phila Pa 1976），2020， 45（2）：96-102.
[31] Wang X，Meng Y，Liu H，et al. Cervical sagittal alignment after Prestige LP cervical disc replacement：radiological results and clinical impacts from a single-center experience [J]. BMC Musculoskelet Disord，2021，22（1）：82.
[32] Yang X，Bartels Rhma，Donk R，et al. The association of cervical sagittal alignment with adjacent segment degeneration [J]. Eur Spine J，2020，29（11）：2655-2664.
[33] Tian W，Yu J. The Role of C2-C7 Angle in the Development of Dysphagia After Anterior and Posterior Cervical Spine Surgery [J]. Clin Spine Surg，2017，30（9）：E1306-E1314.