C5神经根麻痹选编.pptVIP

C5 nerve root palsy following decompression of the cervical spine Preface C5 nerve root palsy is a rare and potentially debilitating complication of cervical spine surgery. Currently, however, there are no guidelines to help surgeons to prevent or treat this complication. 颈 5 神经根麻痹较为少见，是颈椎术后可能出现的较为严重的并发症，然而，到目前为止，尚没有相关指南帮助外科医师预防和治疗 C5 神经根麻痹。 Preface We carried out a systematic review of the literature to identify the causes of this complication and options for its prevention and treatment. Searches of PubMed, Embase and Medline yielded 60 articles for inclusion, most of which addressed C5 palsy as a complication of surgery. 为此，作者对文献进行了系统回顾和总结，以明确该并发症发生的原因，探讨其预防和治疗的方法。检索PubMed，EMBASE和MEDLINE选出60篇文章，其中大部分将C5麻痹作为手术并发症。 Preface Although many possible causes were given, most authors supported posterior migration of the spinal cord with tethering of the nerve root as being the most likely. 尽管存在许多可能的致病因素，但多数作者认为颈椎术后脊髓向后漂移、进而引起神经根牵拉是最可能的因素。 MATERIALS AND METHODS We performed a systematic search with PubMed 、Embase、Medline of the years between 2000 and 2013 using the terms “C5 palsy” and “cervical spine”.The criteria for inclusion were the relevance of the articles to the aetiology, outcome, prevention and treatment of a post-operative C5 nerve root palsy.The level of evidence of each article was determined using the methods of the Oxford Centre for Evidence Based Medicine. 作者以“C5麻痹”和“颈椎”作为关键词对2000-2013年期间在PubMed、EMBASE和MEDLINE上的文献进行了系统检索。纳入标准为：文章需要与术后C5神经根麻痹的病因学、结果、预防及治疗相关。每一篇论文的证据等级均采用牛津循证医学中心的方法进行确定。 Results Anterior Decompression：Analysis of the literature revealed an incidence of C5 root palsy after anterior decompression of between 0% and 26.4%. Two-level corpectomy with autograft fusion and plate fixation had the highest incidence at 26.4%. 前路减压：颈前路减压术后 C5 神经根麻痹的发生率为 0%-26.4%。 两节段椎体次全切植骨融合固定术后的发生率最高，为26.4%。 Results Results Shibuya et and Wada et both reported lower incidences at 8.8% and 4%, respectively, in their studies of subtotal corpectomy. Ant