Camins M B, Rosenblum B R
Clin Neurosurg. 1991;37:722-39.
Osseous lesions of the cervical spine present a spectrum of histopathology varying from benign to highly malignant tumors. Vertebral body resection and reconstruction are possible at all levels of the cervical spine. This affords decompression of the spinal cord even with anterior or anterolateral masses. Resection of the posterior arch or vertebral body should be followed by internal fixation with Halifax clamps, Roy-Camille plates, or Ransford rods posteriorly with a bony fusion or by Caspar plates, strut grafts, or acrylic anteriorly. Restoration of spinal alignment must be carefully planned to correct any structural deficits. In those patients who are not considered as surgical candidates, steroids, chemotherapy, or radiation remain effective alternatives in attempting to relieve pain or reverse neurologic deficits. Earlier awareness and evaluation for this group of patients will afford relief of pain, reversal of neurological deficits, stabilization of the cervical spine, and early immobilization.
颈椎骨病变呈现出一系列组织病理学表现，从良性肿瘤到高度恶性肿瘤不等。颈椎的各个节段都可以进行椎体切除和重建。即使存在前方或前外侧肿块，这也能实现脊髓减压。切除后弓或椎体后，应在后方用哈利法克斯夹、罗伊 - 卡米尔钢板或兰斯福德棒进行内固定并植骨融合，或者在前方用卡斯帕钢板、支撑植骨或丙烯酸材料进行固定。必须精心规划脊柱对线的恢复，以纠正任何结构缺陷。对于那些不被视为手术候选者的患者，类固醇、化疗或放疗仍是试图缓解疼痛或逆转神经功能缺损的有效替代方法。对这组患者更早的认识和评估将有助于缓解疼痛、逆转神经功能缺损、稳定颈椎并尽早制动。
