Abitbol J J, Botte M J, Garfin S R, Akeson W H
Division of Orthopaedics and Rehabilitation, University of California, San Diego 92103.
J Spinal Disord. 1989 Dec;2(4):263-7.
Two patients with multiple myeloma involving the cervical spine and causing instability were treated in a halo vest while radiotherapy and chemotherapy were instituted. Further instability and neurological loss were prevented while continuing this treatment. The bony lesions eventually healed and mechanical stability was restored in both patients. Temporary halo vest placement with concurrent chemo- and/or radiotherapy can be a reasonable and safe alternative to surgery in those patients with multiple myeloma involving the cervical spine, and often results in bone reconstitution and stability.
两名患有累及颈椎并导致不稳定的多发性骨髓瘤患者在接受放疗和化疗时使用了头环背心进行治疗。在持续这种治疗的同时，进一步的不稳定和神经功能丧失得到了预防。两名患者的骨病变最终愈合，机械稳定性得以恢复。对于那些累及颈椎的多发性骨髓瘤患者，临时放置头环背心并同时进行化疗和/或放疗可能是一种合理且安全的手术替代方案，并且常常会导致骨重建和稳定性。
