Liu Chun-Lin, Lai Po-Liang, Jung Shih-Ming, Liao Cheng-Chih
Department of Neurosurgery, Chang Gung University and Chang Gung Memorial Hospital, Taoyuan, Taiwan.
J Neurosurg Spine. 2006 Mar;4(3):256-9. doi: 10.3171/spi.2006.4.3.256.
Although spinal meningioma is a common benign neoplasm, the ossified variant is rare. No more than 20 sporadic cases were reported in the literature between 1977 and January 2005. Recently, the authors treated a patient with a symptomatic ossified meningioma located in the posterior aspect of T-11 and an associated osteoporotic T-11 burst fracture. The tumor was completely removed by T10-11 laminectomy and transpedicular vertebroplasty was performed. The kyphotic deformity of the T-11 burst fracture was partially reduced and maintained for at least 2 months after vertebroplasty and laminectomy. The clinical presentation and management of this case are reported.
尽管脊髓脑膜瘤是一种常见的良性肿瘤,但骨化型变体却很罕见。1977年至2005年1月期间,文献报道的散发病例不超过20例。最近,作者治疗了一名患者,其症状性骨化性脑膜瘤位于T-11椎体后方,并伴有骨质疏松性T-11椎体爆裂骨折。通过T10-11椎板切除术完全切除肿瘤,并进行了经皮椎体成形术。T-11椎体爆裂骨折的后凸畸形在椎体成形术和椎板切除术后部分得到矫正,并维持了至少2个月。本文报道了该病例的临床表现及治疗情况。