通过前部方法在椎脊椎手术中的神经损伤:综合性综述
Sazid Hasan1, Neal Farmer1, Isaac Arefi1
1Department of Orthopaedic Surgery, University of Toledo, Toledo, OH, USA.
Journal of spine surgery (Hong Kong)
|January 9, 2026
概括
前宫脊椎手术可能会导致神经损伤,如喉神经麻和C5. 仔细的手术规划和技术至关重要,以最大限度地降低这些风险并改善患者的治疗结果.
科学领域:
- 神经外科 神经外科
- 脊柱外科手术 脊柱外科手术
- 人体解剖学 解剖学 解剖学
背景情况:
- 前宫脊椎手术是脊柱疾病的常见情况.
- 由于宫解剖学的复杂性,阳性神经损伤是一个重大问题.
研究的目的:
- 审查与前椎手术相关的神经损伤.
- 讨论这些并发症的预防和管理策略.
主要方法:
- 对过去25年PubMed索引研究的结构化文献综述.
- 专注于解剖学相关性,发病率,临床特征,诊断,预防和管理.
主要成果:
- 常见的损伤包括复发性喉神经麻,上部喉神经麻,C5神经根麻和下神经损伤.
- 不太常见的伤害,如帕森纳奇-特纳综合征,C8-T1根性病变和霍纳综合征也得到了解决.
- 风险因素包括多层次手术,修复手术和过度收缩.
结论:
- 精心的手术规划和手术内护理对于降低神经损伤发病率至关重要.
- 提高对潜在并发症的认识和改进手术技术可以改善患者的安全和生活质量.
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