三平面整块脊椎切除术治疗脊索瘤。
Three-level en bloc spondylectomy for chordoma.
机构信息
Department of Neurosurgery, Mayo Clinic, Rochester, MN 55905, USA.
出版信息
Neurosurgery. 2011 Jun;68(2 Suppl Operative):325-33; discussion 333. doi: 10.1227/NEU.0b013e31821348c9.
BACKGROUND
En bloc resection of spinal and sacral chordomas may convey a survival benefit. However, these procedures often are complex and require the surgeon to plan a procedure that results in negative tumor margins, protects vital neurovascular structures, and concludes with a viable biomechanical reconstruction.
OBJECTIVE
We present a case of a 3-level en bloc lumbar spondylectomy and reconstruction.
METHODS
A case of a 45-year-old woman with biopsy-proven exophytic L4 chordoma is presented. The patient underwent successful L3-L5 en bloc spondylectomy and reconstruction over 3 stages.
RESULTS
The patient did well following the procedure, and was neurologically intact at 6-week follow-up.
CONCLUSION
Three-level en bloc spondylectomy with lumbopelvic reconstruction is a challenging yet feasible procedure.
背景
整块切除脊柱和骶骨脊索瘤可能带来生存获益。然而，这些手术通常很复杂，需要外科医生规划手术以实现肿瘤切缘阴性，保护重要的神经血管结构，并最终实现可行的生物力学重建。
目的
我们报告一例 3 节段腰椎整块切除术和重建病例。
方法
报告 1 例 45 岁女性，经活检证实为外生性 L4 脊索瘤。患者成功接受了 3 期 L3-L5 整块脊柱切除术和重建。
结果
患者术后恢复良好，6 周随访时神经功能完整。
结论
3 节段整块脊柱切除术联合腰骶部重建是一项具有挑战性但可行的手术。
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