【摘要】 目的:分析颈椎前路手术对颈椎病患者伴发眩晕症状的治疗效果，初步探讨颈椎失稳与颈性眩晕之间的关系。方法:本团队2018年1月至2023年6月为68例伴发眩晕的颈椎病患者实施手术治疗，术后随访1年。回顾分析其临床资料，分析颈性眩晕与颈椎失稳的关系并评估手术对眩晕改善的影响。结果:全部68例患者中有49例存在颈椎不稳，多发生在中上颈椎，发生率为72.0%;末次随访时眩晕改善优良率为72.1%,提示手术对眩晕有改善作用，其中前路手术对眩晕的改善效果明显优于后路手术，差异有统计学意义(78.3%比59.1%,P<0.01)。结论:颈椎失稳可能是诱发颈性眩晕的重要因素，颈椎前入路融合手术可以增加颈椎稳定性，明显改善颈椎病患者的眩晕症状。更多还原

【Abstract】 Objective:To assess the efficacy of anterior cervical surgery on vertigo in patients withcervical spondylosis.Methods:The clinical data of 68 patients with vertigo undergoing cervical spondylosis surgery from January 2018 to June 2023 in our group were reviewed retrospectively.All patients included had been followed for at least one year.The role that cervical instability plays in cervical vertigo and the efficacy of cervical surgery on vertigo alleviation was studied.Results:Cervical instability was found radiologically in 49 of all 68 patients pre-surgery, with an incidence of 72.0%,suggesting that segmental instability may be involved in the occurrence of vertigo.At the last follow-up, the excellent and good rate of vertigo improvement was 72.1%,suggesting that surgery could improve vertigo.Interestingly, the improvement effect of anterior approach was better than posterior approach(78.3% vs 59.1%,P<0.01).Conclusion:Cervical instability contributes to the pathogenesis of cervical spondylosis accompanied by vertigo.Measures can be taken to increase cervical stability and anterior cervical surgery can be adopted when necessary.更多还原