上颈椎手术的发展

M.-A. Rousseau
{"title":"上颈椎手术的发展","authors":"M.-A. Rousseau","doi":"10.1016/j.monrhu.2021.06.001","DOIUrl":null,"url":null,"abstract":"<div><p>The upper cervical spine (occiput-atlas-axis) is an osteo-ligamentary system that may be subject to specific lesions in chronic inflammatory diseases of the spine. Rheumatoid arthritis, spondyloarthritis, psoriatic arthritis, and articular chondrocalcinosis can lead to destruction or calcification of the osteo-ligamentary elements and result in situations of biomechanical instability and/or compression of the neuraxis. The purpose of this article is to summarize the current indications and to present the most recent considerations regarding surgical management. It should be noted that the indications for inflammatory diseases of the upper cervical spine tend to decrease. The surgical principles of decompression/stabilization remain broadly classical, adapted to the anatomical situation. For decompression, a technical innovation is the anterior approach by nasal endoscopy, but it is not very widespread. For stabilization, the most recent work favors the shortest fixtures and shows the interest for the concept of sagittal spinal balance at the cervical level.</p></div>","PeriodicalId":101125,"journal":{"name":"Revue du Rhumatisme Monographies","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.monrhu.2021.06.001","citationCount":"0","resultStr":"{\"title\":\"Mise au point en chirurgie des maladies inflammatoires du rachis cervical supérieur\",\"authors\":\"M.-A. Rousseau\",\"doi\":\"10.1016/j.monrhu.2021.06.001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>The upper cervical spine (occiput-atlas-axis) is an osteo-ligamentary system that may be subject to specific lesions in chronic inflammatory diseases of the spine. Rheumatoid arthritis, spondyloarthritis, psoriatic arthritis, and articular chondrocalcinosis can lead to destruction or calcification of the osteo-ligamentary elements and result in situations of biomechanical instability and/or compression of the neuraxis. The purpose of this article is to summarize the current indications and to present the most recent considerations regarding surgical management. It should be noted that the indications for inflammatory diseases of the upper cervical spine tend to decrease. The surgical principles of decompression/stabilization remain broadly classical, adapted to the anatomical situation. For decompression, a technical innovation is the anterior approach by nasal endoscopy, but it is not very widespread. For stabilization, the most recent work favors the shortest fixtures and shows the interest for the concept of sagittal spinal balance at the cervical level.</p></div>\",\"PeriodicalId\":101125,\"journal\":{\"name\":\"Revue du Rhumatisme Monographies\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2021-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.monrhu.2021.06.001\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Revue du Rhumatisme Monographies\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1878622721000709\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revue du Rhumatisme Monographies","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1878622721000709","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

上颈椎(枕骨-寰枢轴)是一个骨-韧带系统,在脊柱慢性炎症性疾病中可能受到特定病变的影响。类风湿关节炎、脊椎关节炎、银屑病关节炎和关节软骨钙化症可导致骨韧带元素的破坏或钙化,并导致生物力学不稳定和/或压迫神经轴。本文的目的是总结目前的适应症,并提出有关手术处理的最新考虑。需要注意的是,上颈椎炎性疾病的适应症趋于减少。减压/稳定的手术原则仍然是经典的,适合于解剖情况。对于减压,一项技术创新是鼻内窥镜前路入路,但它不是很普遍。为了稳定,最近的研究倾向于使用最短的固定装置,并对颈椎水平矢状椎体平衡的概念感兴趣。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mise au point en chirurgie des maladies inflammatoires du rachis cervical supérieur

The upper cervical spine (occiput-atlas-axis) is an osteo-ligamentary system that may be subject to specific lesions in chronic inflammatory diseases of the spine. Rheumatoid arthritis, spondyloarthritis, psoriatic arthritis, and articular chondrocalcinosis can lead to destruction or calcification of the osteo-ligamentary elements and result in situations of biomechanical instability and/or compression of the neuraxis. The purpose of this article is to summarize the current indications and to present the most recent considerations regarding surgical management. It should be noted that the indications for inflammatory diseases of the upper cervical spine tend to decrease. The surgical principles of decompression/stabilization remain broadly classical, adapted to the anatomical situation. For decompression, a technical innovation is the anterior approach by nasal endoscopy, but it is not very widespread. For stabilization, the most recent work favors the shortest fixtures and shows the interest for the concept of sagittal spinal balance at the cervical level.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信