Jeszenszky D J, Haschtmann D, Pröbstl O, Kleinstück F S, Heyde C E, Fekete T F
Wirbelsäulenchirurgie, Muskulo-Skelettal-Zentrum, Schulthess Klinik, Lengghalde 2, 8008, Zürich, Schweiz.
Orthopade. 2013 Sep;42(9):746-54. doi: 10.1007/s00132-013-2069-1.
Tumors of the upper cervical spine are rare and represent less than 0.5 % of all spinal tumors. The types of tumor and the clinical presentation are as varied as the modalities used for treatment. The unique anatomy of the upper cervical spine with its high physical mobility means that biomechanical considerations and neighboring anatomical structures (e.g. vertebral artery, medulla oblongata, lower cranial nerves and pharynx) must be considered when creating a treatment plan. Finding a balance between complete tumor removal, the preservation and reestablishment of stability and function and the possible necessity for postoperative radiotherapy is of utmost importance and must be assessed on an individual basis. In this review paper some important points will be presented concerning the preparation of the patient, the planning of the operation and the surgical approach used in treating tumors of the craniocervical junction.
上颈椎肿瘤较为罕见，占所有脊柱肿瘤的比例不到0.5%。肿瘤类型和临床表现与治疗方式一样多种多样。上颈椎独特的解剖结构及其高活动度意味着，在制定治疗方案时必须考虑生物力学因素以及邻近的解剖结构（如椎动脉、延髓、低位颅神经和咽部）。在完全切除肿瘤、保留并重建稳定性和功能以及术后可能需要放疗之间找到平衡至关重要，且必须根据个体情况进行评估。在这篇综述文章中，将阐述一些关于患者准备、手术规划以及治疗颅颈交界区肿瘤所采用的手术入路的要点。
