传统融合手术和微创减压手术治疗脊髓型颈椎病理念上的区别

传统融合手术和微创减压手术治疗脊髓型颈椎病在理念上存在以下区别：

传统融合手术：

1. 强调稳定性重建：通过融合病变节段，消除椎体间的异常活动，从而恢复和维持颈椎的稳定性。

2. 综合解决结构问题：不仅处理脊髓受压，还对颈椎的整体结构进行调整和固定，以防止病情进一步发展。

微创减压手术：

1. 精准减压理念：旨在以最小的创伤精准去除压迫脊髓的因素，最大程度地保留颈椎正常的结构和功能。

2. 保留颈椎活动度：尽量减少对颈椎原有活动度的影响，避免过多的结构破坏和融合。

参考文献：

1. Smith GW, Robinson RA. The treatment of certain cervical-spine disorders by anterior removal of the intervertebral disc and interbody fusion. J Bone Joint Surg Am. 1958;40-A(3):607-624.

2. Heller JG, Sasso RC, Papadopoulos SM. Comparison of BRYAN cervical disc arthroplasty with anterior cervical decompression and fusion: clinical and radiographic results of a randomized, controlled, clinical trial. Spine (Phila Pa 1976). 2009;34(2):101-107.

3. Mummaneni PV, Haid RW. Cervical arthroplasty. Neurosurgery. 2007;61(5 Suppl 2):308-315.

4. Goffin J, Van Calenbergh F, van Loon J, et al. Intermediate follow-up after treatment of degenerative disc disease with the Bryan cervical disc prosthesis: single-level and bi-level. Spine (Phila Pa 1976). 2003;28(24):2673-2678.

5. Yue WM, Brodner W, Highland TR. Persistent and intolerable neck pain after anterior cervical discectomy and fusion: outcome after revision surgery. Spine (Phila Pa 1976). 2005;30(22):2594-2599.