Department of Orthopedics, Memorial Hospital of Sun Yat-sen University, Institute of Spinal Cord Injury, Sun Yat-sen University, 107 Yanjiang Xi Road, Guangzhou, Guangdong Province 510120, People's Republic of China.
Eur Spine J. 2013 Mar;22(3):556-64. doi: 10.1007/s00586-012-2460-3. Epub 2012 Aug 4.
The objectives of this study were to describe our surgical management with a modified total en bloc spondylectomy (TES) and to evaluate the clinical effects in patients with thoracolumbar tumors.
Sixteen consecutive patients with thoracolumbar neoplasms underwent a modified TES via single posterior approach followed by dorsoventral reconstruction from December 2008 to July 2011. Details of the modified technique were described and the patients' clinical information was retrospectively reviewed and analyzed.
Significant improvements in neurological function were achieved in most of the patients. Local pain or radicular leg pain was relieved postoperatively. The mean operation time was 7.2 h, with an average blood loss of 2,300 ml. No major complications, instrumentation failure or local recurrence was found at the final follow-up. Five patients died of the disease during mean 14-month (3.0-23) follow-up.
The modified TES with a single posterior approach is feasible, safe and effective for thoracolumbar spine tumors.
本研究的目的在于描述我们采用改良全脊椎整块切除术（TES）的手术治疗方法，并评估其在胸腰椎肿瘤患者中的临床疗效。
2008 年 12 月至 2011 年 7 月，采用经单一后路入路改良 TES 术联合前后路重建治疗 16 例胸腰椎肿瘤患者。对改良技术的细节进行了描述，并对患者的临床资料进行了回顾性分析。
大多数患者的神经功能均有显著改善。术后局部疼痛或神经根性腿痛得到缓解。手术时间平均为 7.2 小时，平均失血量为 2300ml。末次随访时无主要并发症、器械失败或局部复发。5 例患者在平均 14 个月（3.0-23）的随访期间死于疾病。
经单一后路入路改良 TES 术治疗胸腰椎肿瘤是可行、安全、有效的。
