Louis R, Casanova J, Baffert M
Rev Chir Orthop Reparatrice Appar Mot. 1976 Jan-Feb;62(1):57-70.
The authors have treated two hydatic cysts, three plasmocytomas, one chondrosarcoma, one osteogenic sarcoma and four metastasis at the level of the spine. The surgical procedures may be either palliative or curative. In metastatic lesions, posterior decompression was associated with internal fixation for prevention or improvement of neurological signs, providing more comfort during the patient's survival. Curative procedures were achieved a two-stages excision of the vertebra by anterior and posterior approachs, grafting and fixation using Harrington's rods. Surgery was followed by chemotherapy and roentgentherapy it should be started before onset on neurological troubles. Early results were gratifying flaccid paraplegia excluded.
作者治疗了两例包虫囊肿、三例浆细胞瘤、一例软骨肉瘤、一例骨肉瘤以及四例脊柱转移瘤。手术方式可以是姑息性的或根治性的。对于转移性病变,后路减压联合内固定用于预防或改善神经症状,以在患者生存期内提供更多舒适感。根治性手术通过前后路分两期切除椎体,使用哈灵顿棒进行植骨和固定。手术后进行化疗和放疗,应在神经症状出现之前开始。早期结果令人满意,排除弛缓性截瘫。