Department of Neurological Surgery, University of California, San Francisco, 505 Parnassus Avenue, San Francisco, CA 94143-0112, USA.
Department of Neurological Surgery, UCSF Spine Center, University of California, San Francisco, 505 Parnassus Avenue, San Francisco, CA 94143-0112, USA.
Neurosurg Clin N Am. 2014 Apr;25(2):305-15. doi: 10.1016/j.nec.2013.12.008.
Management of spinal metastasis is a large and challenging clinical problem. For metastatic epidural spinal cord compression, a prospective, randomized, controlled trial showed the utility of circumferential surgical decompression followed by adjuvant radiotherapy. In the setting of those data, surgical techniques evolved from decompressive laminectomy only to anterior corpectomy to posterior-only transpedicular corpectomy. The transpedicular approach has recently been modernized with minimally invasive and mini-open techniques. This article presents the relevant clinical background on spinal metastasis, reviews the surgical technique for minimally invasive transpedicular corpectomy, and finally reviews relevant results in the literature.
脊柱转移瘤的治疗是一个庞大而具有挑战性的临床问题。对于转移性硬膜外脊髓压迫症，一项前瞻性、随机、对照试验显示了环形手术减压联合辅助放疗的作用。在这些数据的基础上，手术技术从单纯减压性椎板切除术发展到前路椎体切除术，再到后路经椎弓根椎体切除术。经椎弓根入路最近已通过微创和小切口技术得到了改进。本文介绍了脊柱转移瘤的相关临床背景，回顾了微创经椎弓根椎体切除术的手术技术，最后对文献中的相关结果进行了综述。
