Kurz L T, Pursel S E, Herkowitz H N
Department of Orthopaedic Surgery, William Beaumont Hospital, Royal Oak, Michigan.
Spine (Phila Pa 1976). 1991 Oct;16(10 Suppl):S542-7. doi: 10.1097/00007632-199110001-00018.
The surgical management of tumors at the cervicothoracic junction is hindered by various anatomic structures. Standard approaches to the cervical or thoracic spine provide inadequate exposure. An approach to the cervicothoracic junction that provides exposure from C3 to T4 is described. The approach allows extensive bony resection, spinal cord decompression, correction of deformity, spinal reconstruction, and stabilization. Four patients with tumors metastatic to the cervicothoracic junction underwent this surgical approach. All had significant kyphosis and neck pain unresponsive to nonsurgical treatment. After surgery, neurologic function improved in three patients and remained normal in one. All patients had relief of neck pain and reduction of kyphosis.
各种解剖结构阻碍了颈胸交界处肿瘤的外科治疗。颈椎或胸椎的标准手术入路暴露不充分。本文描述了一种可暴露C3至T4的颈胸交界处手术入路。该入路可进行广泛的骨质切除、脊髓减压、畸形矫正、脊柱重建及稳定手术。4例颈胸交界处肿瘤转移患者接受了该手术入路治疗。所有患者均有明显后凸畸形及颈部疼痛，非手术治疗无效。术后，3例患者神经功能改善，1例保持正常。所有患者颈部疼痛均缓解，后凸畸形减轻。
