頚椎後方除圧術—手術バリエーション

Cervical Cord/Root Decompression:Posterior Approach/Variation of Surgical Procedure

Point

・最も基本的な頚椎後方手術の概要を提示する．

・頚部後方組織，特に筋骨格系の温存の工夫について概説する．

・病態に応じた手術手技の選択（椎弓形成術／切除術，椎間孔拡大術，インプラントなど）について解説する．

＊本論文中、［Video］マークのある図につきましては、関連する動画を見ることができます（公開期間：2028年2月まで）。

　Posterior cervical decompression surgery is safe and effective. It was developed to safely and reliably decompress nerve tissues. Maximising the reconstruction and maintenance of the posterior neck tissue has been reported and developed. Complete reconstruction of the posterior musculoskeletal unit can minimise postoperative complications and spinal alignment changes. Here, we introduced laminoplasty which completely preserved the posterior cervical spinal tissue, and discussed its variations. Although posterior cervical decompression is a basic and safe surgical technique that can be used in many diseases, it has limitations. The factors of nerve compression should be carefully examined, and the most appropriate procedure should be selected considering total spinal alignment.