Disch A C, Pumberger M, Schmoelz W, Melcher I, Druschel C, Schaser K-D
Sektion für Wirbelsäulenchirurgie, Centrum für Muskuloskeletale Chirurgie, Charité-Universitätsmedizin Berlin, Campus Virchow, Augustenburger Platz 1, 13353, Berlin, Deutschland.
Orthopade. 2012 Aug;41(8):647-58. doi: 10.1007/s00132-012-1912-0.
The total number of spinal tumors has increased over the past decade. However, the average survival time of tumor patients has increased due to improvements in the multidisciplinary treatment regimes. Therefore, radical tumor resection and complex reconstruction were developed in spinal surgery. Various reconstructive options for the throracolumbar spine are nowadays available and are depicted in this article. The success of complex reconstructive surgery relies on biomechanical principles and reconstruction is dependent on the size and location of the lesion, bone porosity and implant systems used. Special emphasis of this article focuses on en bloc vertebrectomy which is the most radical approach of spinal tumor surgery. The biomechanical aspects of different types of lesions and the reconstructive options are discussed in the context of the currently published literature.
在过去十年中，脊柱肿瘤的总数有所增加。然而，由于多学科治疗方案的改进，肿瘤患者的平均生存时间有所延长。因此，脊柱外科领域开展了肿瘤根治性切除和复杂重建手术。目前，胸腰椎有多种重建选择，本文将对此进行描述。复杂重建手术的成功依赖于生物力学原理，重建方式取决于病变的大小和位置、骨孔隙率以及所使用的植入系统。本文特别强调整块椎体切除术，这是脊柱肿瘤手术中最彻底的方法。本文结合当前已发表的文献，讨论了不同类型病变的生物力学方面以及重建选择。
