Hybrid 手术在治疗多节段颈椎病中的临床运用

Hybrid surgery in the treatment of multilevel cervical disease

摘要:

目的：对 Hybrid 手术治疗多节段颈椎病的临床疗效以及该术式较颈前路减压植骨融合内固定术（anterior cervical dis－cectomy and fusion，ACDF）、颈椎间盘置换术（cervical artificial disc replacement，CDR）及颈后路手术的优势和自身所存在的争议进行综述。方法：广泛查阅国内外近年来关于Hybrid、ACDF、CDR及颈后路手术对比研究的相关文献，分析Hybrid手术较ACDF、CDR及后路手术的优势、自身存在的缺陷以及手术的临床疗效。结果：Hybrid手术可提供确切的症状缓解效果，并保留颈椎脊柱节段的运动幅度，降低邻近椎体节段的椎间盘压力，对维持颈椎远期稳定性及恢复颈椎生物力学环境具有重要意义。结论：Hybrid 手术短、中期临床效果确切，仍需长期、大量的随访研究来证明其远期临床效果。

Abstract:

Objective：To review the clinical efficacy of Hybrid surgical treatment for multi-segment cervical spondylosis and to discuss the advantages and disadvantages of Hybrid，anterior cervical discectomy and fusion（ACDF），cervical artificial disc replacement（CDR）and posterior surgery. Methods：The relevant domestic and foreign literatures about the Hybrid，ACDF，CDR and posterior surgery were searched and their advantages，disadvantages and efficacy were analyzed and compared. Results：Hybrid surgery can effectively alleviate the symptoms，keep the motion range of cervical spine and lower the pressure of adjacent vertebral segment disc. Meanwhile，Hybrid surgery was of great significance in maintaining long-term stability of the cervical spine and recovering its biomechanics en－vironment. Conclusion：Hybrid surgery can obtain confirmed short-term clinical effect，but a lot of long-term follow-up studies are still needed to prove its long-term clinical effects.