摘要
目的 :探讨全脊椎切除、融合及稳定性重建术在治疗全脊椎肿瘤中的必要性和可行性。方法 :对 11例全脊椎肿瘤的患者行后路或联合前、后路Ⅰ期全脊椎切除、脊髓减压 ,并进行椎间植骨融及后路植骨融合、固定的手术。结果 :术后随访 3个月～ 2年 ,7例神经功能丧失者 ,6例完全恢复 ,1例部分恢复 ,所有患者局部疼痛皆消失。 1例术后出现一过性瘫痪加重。术后平均植骨融合时间为 3个月。 1例神经鞘瘤患者 1年后复发并恶变。结论 :颈部全脊椎肿瘤 ,联合前、后路手术 (肿瘤切除、植骨、内固定 )可以彻底切除全脊椎肿瘤及稳定性重建 ;对胸、腰段脊椎肿瘤仅行后路手术便可彻底切除全脊椎肿瘤 。
Objective:To explore the feasibility of vertebrectomy and fusion for treatment of spinal tumors and spine reconstruction.Methods:Eleven cases of spinal tumors were performed this operation from 1997,followed by posterior apporach,or anterior and posterior apporach.Results:The follow up of postoperation was from 3 months to 2 years.All patients were free.from rain six of 7 neural dysfuntion reeovered completely.Only 1 case were temporay paralysis.All the cases had solid fusion at an average of 3 months.The case of neurilemoma recured after 20 months of postoperation. Conclusion:Vertebrectomy with anterior and posterior spine reconstruction succeeds in treatment of cervical spinal tumor,So does Vertebrectomy with posterior approach in treatment of thoracic and lumbar spinal tumor.Poterior spine reconstruction is achieved by placement of rigid pedicle screw and rod instrumentation.
出处
《山东医科大学学报》
2001年第3期256-257,共2页
Acta Academiae Medicinae Shandong
关键词
脊柱重建
脊椎肿瘤
全脊椎切除术
Spine rconstruction
Spinal neoplasms
Vertebrectomy
