后路椎板切除同时行颈椎侧块内固定植骨融合治疗颈椎管内肿瘤

Posterior Cervical Laminectomy at the Same time Lateral mass Fixation and Fusion in Treatment of Cervical Cancer

目的:探讨经后路椎板切除摘除椎管内肿瘤,同时行颈椎侧块内固定植骨融合治疗颈椎椎管内肿瘤的临床疗效。方法:采用该手术方法治疗颈椎椎管内肿瘤10例。结果:所有患者术后早期(3周以内)可下床活动,无1例出现眩晕、颈痛、头痛等颈椎不稳的表现。随访6个月～2年未见后凸畸形发生,颈椎活动不受限制,内固定物无松动断裂。结论:经后路椎板切除同时行经颈椎侧块内固定植骨融合治疗颈椎管内肿瘤,能够维持手术后颈椎的稳定性,防止远期后凸畸形的发生。

Objective：Posterior laminectomy for removal of spinal tumor,while cervical lateral mass fixation treatment of cervical spinal fusion clinical efficacy.Methods：The surgical treatment of cervical intraspinal tumors was 10 cases.Results：All the patients early（within 3 weeks） get out of bed,with no dizziness,neck pain,headaches and other manifestations of cervical instability.6 months-2 years of follow-up was no occurrence of kyphosis,cervical activity is not restricted,no loosening or breakage of internal fixation.Conclusion：Passing through the posterior cervical laminectomy and lateral mass fixation and fusion in treatment of cervical cancer,can maintain the stability of the cervical spine after surgery to prevent long-term incidence of kyphosis.