Flory P J, Potulski M, Bühren V, Trentz O
Chirurgische Universitätsklinik Homburg/Saar, Abteilung Unfallchirurgie.
Aktuelle Traumatol. 1987 Aug;17(4):174-8.
Surgery for treatment of destructions of the spine varies depending on localization and tumour status. If the body of the vertebra is affected, the ventral approach allows radical tumour resection as far as possible. The following stabilization is effected by filling the defect and carrying out osteosynthetical fusion. Of 38 patients, three had benign tumours, whereas ten patients had primary malignant and 25 had metastatic tumours. The results show that surgical treatment is justified also in palliative indications; although survival time is not prolonged, the quality of life can be improved.
用于治疗脊柱破坏的手术因病变部位和肿瘤状态而异。如果椎体受到影响，前路手术可尽可能进行根治性肿瘤切除。随后通过填充缺损并进行骨融合来实现稳定。在38例患者中，3例患有良性肿瘤，10例患有原发性恶性肿瘤，25例患有转移性肿瘤。结果表明，即使在姑息性适应症中，手术治疗也是合理的；虽然生存时间没有延长，但生活质量可以得到改善。
