臨床整形外科53巻8号

2018年08月発行

誌上シンポジウム 椎弓形成術 アップデート

高齢者に対する頚椎椎弓形成術

著者： 豊田宏光¹ 鈴木亨暢¹ 玉井孝司¹ 中村博亮¹

所属機関： ¹大阪市立大学大学院医学研究科整形外科学

ページ範囲：P.705 - P.711

　高齢者頚髄症の特徴は，罹病期間が長く，術前神経障害が重篤で，動的因子の関与が多くなると脊髄症状の急速な悪化を認める点である．具体的には，C3-4レベルの不安定性による急性増悪例や頚椎すべり症を伴う例に留意が必要となる．後療法の簡便さ，合併症の頻度などから椎弓形成術が一般的に選択され，多くの研究者がその良好な安定した臨床成績を報告しているが，高齢者の脊椎手術に対する期待も変化してきており，患者や家族のニーズを尊重しながら治療方針を進めていくことが求められる．

参考文献

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