Crocker Matthew, Chitnavis Bhupal
Department of Neurosurgery, King's College Hospital, London, UK.
Br J Neurosurg. 2007 Feb;21(1):28-31. doi: 10.1080/02688690601170676.
We present two cases of vertebral body tumours presenting with neurological compromise treated with posterior approach vertebrectomy and three-column reconstruction using in situ expandable cage and pedicle screw reconstruction. One was performed in a staged procedure, the second as a single procedure. This approach avoids the requirement, and associated comorbidity, of combined anterior and posterior approaches. Although previously described as appropriate to minimize comorbidity in patients with metastatic spinal disease, we believe this strategy should be considered in any patient requiring three-column resection and stabilization in the thoracic spine.
我们报告两例椎体肿瘤伴神经功能障碍患者，采用后路椎体切除术及使用原位可扩张椎间融合器和椎弓根螺钉重建进行三柱重建治疗。其中一例采用分期手术，另一例采用一期手术。这种方法避免了联合前后路手术的需求及相关合并症。尽管先前已描述该方法适用于将转移性脊柱疾病患者的合并症降至最低，但我们认为，对于任何需要在胸椎进行三柱切除和稳定手术的患者，都应考虑采用这种策略。
