影像引导下颈椎尤因肉瘤整块切除的外侧块截骨术：技术说明
Image-Guided Lateral Mass Osteotomy for En Bloc Resection of Cervical Ewing Sarcoma: A Technical Note.
作者信息
Li Jia Xi Julian, Phan Kevin, Tran Tommy Manh, Mobbs Ralph J, Stanford Ralph
机构信息
Faculty of Medicine, University of New South Wales, Sydney, Australia.
Faculty of Medicine, University of New South Wales, Sydney, Australia; Department of Neurosurgery, Prince of Wales Hospital, Sydney, Australia.
出版信息
World Neurosurg. 2017 Aug;104:628-633. doi: 10.1016/j.wneu.2017.05.071. Epub 2017 May 19.
BACKGROUND
En bloc resection of Ewing sarcoma in the cervical spine according to Enneking's principles is technically challenging owing to the proximity of important neurovascular structures, the complex local anatomy, and the biomechanical instability of radical resection. The rarity of Ewing sarcoma and variability of its presentation justifies ongoing exploration and compilation of the surgical nuances and subtleties of en bloc resection in the cervical spine.
CASE DESCRIPTION
We present a 34-year-old male with Ewing sarcoma of the neck who underwent successful en bloc resection using a novel technique of splitting the laminae and osteomizing the lateral masses under imaging guidance.
CONCLUSIONS
This novel and successful approach of en bloc resection in the cervical spine can add to the spinal surgeon's repertoire when dealing with complex cervical tumor masses.
背景
根据恩宁克原则对颈椎尤因肉瘤进行整块切除在技术上具有挑战性，这是因为重要神经血管结构位置接近、局部解剖结构复杂以及根治性切除导致的生物力学不稳定。尤因肉瘤的罕见性及其表现的变异性证明持续探索和汇总颈椎整块切除的手术细微差别是合理的。
病例描述
我们报告一名34岁颈部尤因肉瘤男性患者，其在影像引导下采用一种劈开椎板并使侧块骨化的新技术成功接受了整块切除。
结论
这种新颖且成功的颈椎整块切除方法可为脊柱外科医生处理复杂颈椎肿瘤块时增添新的术式。
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