-167-《中国医学创新》第20卷第5期（总第611期）2023年2月综述ZongshuMedicalInnovationofChinaVol.20,No.5February,2023①滨州医学院烟台附属医院山东烟台264100通信作者：谭江威颈前路减压融合术后邻近节段退变病的研究进展王超①唐晓杰①谭江威①【摘要】颈椎退变性疾病（cervicaldegenerativedisease，CDD）为目前导致脊髓功能异常的典型诱因，严重影响患者的身心健康，颈前路减压融合术（anteriorcervicaldiscectomyandfusion，ACDF）从20世纪50年代出现至今，已成为解决CDD的金标准，而基于访查时间深入，术后邻近节段退变病（adjacentsegmentdegeneration，ASD）隐患逐渐显露了出来。ASD对于融合术的后期效果会造成一定的影响，成为颈前路减压融合术的主要远期并发症。同时引发患者问题反复，严重的更是会对手术疗效造成影响，因此受到国内外学者的广泛关注。此次主要总概了近些年业内有关研究成果，并就ASD的发生情况、危险性和防范等予以探讨，提升对于该问题的认识。【关键词】邻近节段退变颈椎病颈前路减压融合术生物力学ResearchProgressofAdjacentSegmentalDegenerationafterAnteriorCervicalDecompressionandFusion/WANGChao,TANGXiaojie,TANJiangwei.//MedicalInnovationofChina,2023,20(05):167-171[Abstract]Cervicaldegenerativedisease(CDD)isatypicalcauseofspinalcorddysfunction,whichseriouslyaffectsthephysicalandmentalhealthofpatients.Sinceitsbirthin1955,anteriorcervicaldiscectomyandfusion(ACDF)hasbecomethegoldstandardtosolveCDD.Basedonthedepthoftheinterviewtime,thehiddendangerofpostoperativeadjacentsegmentdegeneration(ASD)graduallyemerged.ASDhasacertainimpactonthelateresultsofanteriorcervicaldecompressionandfusion,andithasbecomethemainlong-termcomplicationofanteriorcervicaldecompressionandfusion.Atthesametime,itcausesrepeatedpatientproblems,andifserious,itwillaffectthesurgicalefficacy,soithasbeenwidelyconcernedbyscholarsathomeandabroad.Thisarticlemainlysummarizestherelevantresearchresultsinthefieldinrecentyears,anddiscussestheoccurrence,riskandpreventionofASD,soastoimprovetheunderstandingoftheproblem.[Keywords]AdjacentsegmentdegenerationCervicalspondylosisAnteriorcervicaldecompressionandfusionBiomechanicsFirst-author'saddress:YantaiAffilia...
