PDF(Pubmed)
Abstract：
Dyspnea has been reported to occur following posterior occipitocervical fusion. However, there are no documented cases of dyspnea following posterior fixation of the middle and lower cervical spine without posterior occipitocervical fusion. An 80-year-old woman underwent corrective fusion from T4 to the ilium for kyphoscoliosis. Sixteen months later, the patient developed cervical kyphosis (dropped head syndrome) with proximal junctional kyphosis, leading to a pedicle subtraction osteotomy at T4 and an extended fixation to C2. On the sixth postoperative day, the patient experienced respiratory arrest, prompting a reoperation to reduce cervical lordosis, ultimately resolving the respiratory dysfunction. Excessive correction of cervical kyphosis should be avoided to prevent the occurrence of postoperative dyspnea, even in cases where posterior occipitocervical fusion has not been performed.
摘要：
据报道，枕颈后路融合后会发生呼吸困难。然而,没有记录的情况下，在没有后路枕颈融合的情况下，对中下颈椎进行后路固定后呼吸困难。一名80岁的妇女接受了从T4到the骨的矫正融合，以治疗脊柱侧后凸。16个月后,患者发展为颈椎后凸畸形（头部下垂综合征）并伴有近端交界性脊柱后凸畸形，导致T4时的椎弓根减法截骨术和对C2的扩展固定。术后第六天,患者出现呼吸骤停,促使再次手术以减少宫颈前凸，最终解决呼吸功能障碍。应避免过度矫正颈椎后凸畸形，防止术后呼吸困难的发生，即使在没有进行枕颈后路融合的情况下。
