AdvancesinClinicalMedicine临床医学进展,2023,13(10),16813-16818PublishedOnlineOctober2023inHans.https://www.hanspub.org/journal/acmhttps://doi.org/10.12677/acm.2023.13102354文章引用:阿不都沙拉木∙阿不力肯,盛伟斌.颈椎单开门椎板成形术后C5神经根麻痹的研究进展[J].临床医学进展,2023,13(10):16813-16818.DOI:10.12677/acm.2023.13102354颈椎单开门椎板成形术后C5神经根麻痹的研究进展阿不都沙拉木·阿不力肯，盛伟斌*新疆医科大学第一附属医院脊柱外科，新疆乌鲁木齐收稿日期：2023年9月25日；录用日期：2023年10月19日；发布日期：2023年10月24日摘要术后颈5神经根麻痹(C5nerverootpalsy,C5P)是颈椎单开门椎板成形术(open-doorcervicalexpan-sivelaminoplasty,LAMP)后常见且可能导致永久神经功能缺陷的并发症，这极大程度影响了对该手术疗效的判断及患者的手术满意度。C5P的确切病因病机尚未完全明确，多数学者支持神经根栓系或脊髓再灌注损伤相关学说。本文结合现有国内外文献对LAMP术后C5P的临床特征、发生率、危险因素、预防措施、治疗及预后做一综述。关键词颈椎，神经根，单开门，麻痹ProgressofC5NerveRootPalsyafterOpen-DoorCervicalExpansiveLaminoplastyAbudushalamuAbuliken,WeibinSheng*DepartmentofSpineSurgery,TheFirstAffiliatedHospitalofXinjiangMedicalUniversity,UrumqiXinjiangReceived:Sep.25th,2023;accepted:Oct.19th,2023;published:Oct.24th,2023AbstractPostoperativecervicalnerverootpalsy(C5P)isacommoncomplicationafteropen-doorcervical*通讯作者。阿不都沙拉木·阿不力肯，盛伟斌DOI:10.12677/acm.2023.1310235416814临床医学进展expansivelaminoplasty(LAMP)andmayleadtopermanentneurologicaldeficits,whichgreatlyaffectsthejudgmentoftheefficacyoftheprocedureandthepatients’satisfactionwiththesurgery.TheexactetiologyofC5Phasnotbeenfullyclarified,andmostscholarssupportthetheoryofnerverootembolizationorspinalcordreperfusioninjury.Inthispaper,wereviewtheclinicalcharacte-ristics,incidence,riskfactors,preventivemeasures,treatmentandprognosisofC5PafterLAMPwithreferencetotheexistingliteratureathomeandabroad.KeywordsCervicalSpine,NerveRoot,OpenDoor,PalsyCopyright©2023byauthor(s)andHansPublishersInc.ThisworkislicensedundertheCreativeCommonsAttributio...
