开放椎体成形术联合后路减压内固定治疗侵袭性脊柱血管瘤

Treatment of invasive spinal hemangioma with posterior decompression and internal fixation

目的探讨开放椎体成形术联合后路减压治疗侵袭性脊柱血管瘤的手术方法和临床价值。方法回顾性分析我院自2009-05-2013-07月收治的9例有神经损害的侵袭性脊柱血管瘤患者。9例患者均行开放椎体成形术联合后路减压治疗,其中6例患者仅后路减压内固定术,3例行后路减压内固定横突间植骨融合术,比较患者术前术后VAS疼痛评分、Frankel脊髓损伤分级评分。结果 9例患者术后VAS评分由术前平均7.5分降至术后平均2.3分,术后神经功能不同程度恢复,术后复查骨水泥无渗漏,椎管内无占位,所有患者术后肿瘤未见复发、椎体高度未见丢失。结论开放椎体成形术联合后路减压内固定治疗侵袭性脊柱血管瘤效果良好。

Objective To explore the surgical methods and clinical value of open vertebral forming surgery combined with posterior decompression in the treatment of vertebral hemangioma. Methods The clinical data of 9 patients with nerve damage morbid invasion of spinal heman- gioma, who admitted in our hospital from 2009-05 to 2013-07 were retrospectively analyzed. An 9 patients underwent open vertebral forming surgery combined with posterior decompression, in which 6 patients received posterior decompression and internal fixation, 3 cases were treated with posterior decompression, internal fLxation cross process interbody fusion. The preoperative and postoperative VAS pain score and Frankel spinal cord injury grading were compared. Results 9 cases of patients with postoperative VAS score by preoperative average 7.5 points to postopera- tive average 2.3 points, different degree of nerve function recovery after operation, postoperative review of bone cement no leakage, spinal canal without occupying. After operation, all patients without tumor recurrence, vertebral height no loss. Conclusion Open vertebroplasty combined with posterior decompression and internal fixation for the treatment of invasive spinal heman- gioma is effective.