微创外科策略：改变脊柱肿瘤的治疗方式。
Minimally Invasive Surgery Strategies: Changing the Treatment of Spine Tumors.
机构信息
Department of Neurosurgery, Memorial Sloan Kettering Cancer Center, Weill Cornell Medical College, 1275 York Avenue, New York, NY 10065, USA.
Department of Neurosurgery, Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, MI, USA.
出版信息
Neurosurg Clin N Am. 2020 Apr;31(2):201-209. doi: 10.1016/j.nec.2019.11.003.
Abstract
Innovation in surgical technique and contemporary spinal instrumentation paired with intraoperative navigation/imaging concepts allows for safer and less-invasive surgical approaches. The combination of stereotactic body radiotherapy, contemporary surgical adjuncts, and less-invasive techniques serves to minimize blood loss, soft tissue injury, and length of hospital stay without compromising surgical efficacy, potentially enabling patients to begin adjuvant treatment sooner.
摘要
手术技术的创新和现代脊柱器械与术中导航/成像概念相结合，使得手术更加安全、微创。立体定向体部放射治疗、现代手术辅助手段和微创技术的结合，最大限度地减少了出血、软组织损伤和住院时间，而不影响手术效果，使患者有可能更早开始辅助治疗。
相似文献
1
Minimally Invasive Surgery Strategies: Changing the Treatment of Spine Tumors.微创外科策略：改变脊柱肿瘤的治疗方式。
Neurosurg Clin N Am. 2020 Apr;31(2):201-209. doi: 10.1016/j.nec.2019.11.003.
2
Minimally Invasive Separation Surgery with Intraoperative Stereotactic Guidance: A Feasibility Study.术中立体定向引导下的微创分离手术：一项可行性研究。
World Neurosurg. 2018 Jan;109:68-76. doi: 10.1016/j.wneu.2017.09.067. Epub 2017 Sep 20.
3
Image guidance in spine tumor surgery.脊柱肿瘤手术中的图像引导。
Neurosurg Rev. 2020 Jun;43(3):1007-1017. doi: 10.1007/s10143-019-01123-2. Epub 2019 Jun 1.
4
Comparison of open and minimally invasive surgery for intradural-extramedullary spine tumors.开放手术与微创手术治疗硬脊膜外髓外脊柱肿瘤的比较。
Neurosurg Focus. 2015 Aug;39(2):E11. doi: 10.3171/2015.5.FOCUS15129.
5
Spine metastases: are minimally invasive surgical techniques living up to the hype?脊柱转移瘤：微创外科技术是否名副其实？
CNS Oncol. 2015;4(4):257-64. doi: 10.2217/cns.15.15. Epub 2015 Jun 22.
6
Emerging Percutaneous Ablative and Radiosurgical Techniques for Treatment of Spinal Metastases.新兴的经皮消融和放射外科技术治疗脊柱转移瘤。
Neurosurg Clin N Am. 2020 Jan;31(1):141-150. doi: 10.1016/j.nec.2019.08.017. Epub 2019 Oct 21.
7
Comparison of minimally invasive transspinous and open approaches for thoracolumbar intradural-extramedullary spinal tumors.微创经椎弓根入路与开放入路治疗胸腰段硬脊膜外髓外脊髓肿瘤的比较
Neurosurg Focus. 2015 Aug;39(2):E12. doi: 10.3171/2015.5.FOCUS15187.
8
Minimally Invasive Muscle Sparing Posterior-Only Approach for Lumbar Circumferential Decompression and Stabilization to Treat Spine Metastasis--Technical Report.微创保留肌肉单纯后路腰椎环形减压与稳定术治疗脊柱转移瘤——技术报告
World Neurosurg. 2015 Nov;84(5):1484-90. doi: 10.1016/j.wneu.2015.06.018. Epub 2015 Jun 20.
9
Minimally Invasive Resection of Spinal Tumors with Tubular Retractor: Case Series, Surgical Technique, and Outcome.管状牵开器微创切除脊柱肿瘤：病例系列、手术技术及结果。
World Neurosurg. 2021 May;149:e612-e621. doi: 10.1016/j.wneu.2021.01.124. Epub 2021 Feb 3.
10
Review of spinal radiosurgery: a minimally invasive approach for the treatment of spinal and paraspinal metastases.脊柱放射外科综述：一种治疗脊柱及椎旁转移瘤的微创方法
Neurosurg Focus. 2008;25(2):E18. doi: 10.3171/FOC/2008/25/8/E18.
引用本文的文献
1
Current Concepts in the Management and Treatment of Spinal Metastases-A Systematic Literature Review.脊柱转移瘤管理与治疗的当前概念——一项系统文献综述
Cancers (Basel). 2025 Apr 11;17(8):1296. doi: 10.3390/cancers17081296.
2
Use of Carbon Fiber Implants to Improve the Safety and Efficacy of Radiation Therapy for Spine Tumor Patients.使用碳纤维植入物提高脊柱肿瘤患者放射治疗的安全性和有效性。
Brain Sci. 2025 Feb 14;15(2):199. doi: 10.3390/brainsci15020199.
3
Does Intraoperative Cell-Salvaged Autologous Blood Transfusion in Metastatic Spine Tumour Surgery Impact Clinical Outcomes: A Prospective Clinical Study With 4-year Follow-Up.转移性脊柱肿瘤手术中术中细胞回收式自体输血对临床结果有影响吗：一项为期4年随访的前瞻性临床研究
Global Spine J. 2025 Feb 13:21925682251319760. doi: 10.1177/21925682251319760.
4
Chondromatosis of the Lumbar Spine: Minimally Invasive Spine Surgery for This Rare Condition.腰椎滑膜软骨瘤病：针对这种罕见病症的微创脊柱手术
Cureus. 2024 Oct 10;16(10):e71231. doi: 10.7759/cureus.71231. eCollection 2024 Oct.
5
Radiotherapy with 15 × 2.633 Gy vs. 20 × 2.0 Gy in Patients with Malignant Spinal Cord Compression and Favorable Survival Prognoses: A Secondary Analysis of the RAMSES-01 Trial.恶性脊髓压迫且生存预后良好的患者接受15×2.633 Gy与20×2.0 Gy放疗的比较：RAMSES-01试验的二次分析
Cancers (Basel). 2024 Oct 10;16(20):3436. doi: 10.3390/cancers16203436.
6
Comparison of microscopic full-laminectomy (open surgery) and microendoscopic minimally invasive hemilaminectomy for thoracic extramedullary spinal tumours.胸髓外脊柱肿瘤显微镜下全椎板切除术（开放手术）与微创小关节入路内镜下半椎板切除术的比较。
J Cardiothorac Surg. 2024 Jul 13;19(1):444. doi: 10.1186/s13019-024-02969-4.
7
Post-operative complications affect survival in surgically treated metastatic spinal cord compression.术后并发症影响手术治疗转移性脊髓压迫症患者的生存。
Int Orthop. 2024 May;48(5):1341-1350. doi: 10.1007/s00264-024-06120-9. Epub 2024 Mar 12.
8
Spinal osteoid osteoma in the pediatric population: A management algorithm and systematic review.儿童人群中的脊柱骨样骨瘤：一种管理算法与系统评价
J Child Orthop. 2023 Aug 30;17(5):428-441. doi: 10.1177/18632521231192477. eCollection 2023 Oct.
9
Endoscopic and Nonendoscopic Approaches to Single-Level Lumbar Spine Decompression: Propensity Score-Matched Comparative Analysis and Frailty-Driven Predictive Model.单节段腰椎减压的内镜与非内镜治疗方法：倾向评分匹配比较分析及基于衰弱的预测模型
Neurospine. 2023 Mar;20(1):119-128. doi: 10.14245/ns.2346110.055. Epub 2023 Mar 31.
10
A Machine Learning-Based Online Prediction Tool for Predicting Short-Term Postoperative Outcomes Following Spinal Tumor Resections.一种基于机器学习的在线预测工具，用于预测脊柱肿瘤切除术后的短期结果。
Cancers (Basel). 2023 Jan 28;15(3):812. doi: 10.3390/cancers15030812.
本文引用的文献
1
Percutaneous Endoscopic Excision and Ablation of Osteoid Osteoma of the Lumbar Spine and Sacrum: A Technical Note and Outcomes.经皮内窥镜下切除和消融腰椎和骶骨骨样骨瘤：技术说明和结果。
World Neurosurg. 2020 Jan;133:121-126. doi: 10.1016/j.wneu.2019.09.039. Epub 2019 Sep 25.
2
Minimally invasive resection of spinal hemangioblastoma: feasibility and clinical results in a series of 18 patients.脊柱血管母细胞瘤的微创切除：18例患者的可行性及临床结果
J Neurosurg Spine. 2019 Aug 9;31(6):880-889. doi: 10.3171/2019.5.SPINE1975. Print 2019 Dec 1.
3
Percutaneous Balloon Kyphoplasty and Short Instrumentation Compared with Traditional Long Instrumentation for Thoracolumbar Metastatic Spinal Cord Compression.经皮球囊椎体后凸成形术与短节段内固定术对比传统长节段内固定术治疗胸腰椎转移性脊髓压迫症。
World Neurosurg. 2019 Oct;130:e640-e647. doi: 10.1016/j.wneu.2019.06.182. Epub 2019 Jul 2.
4
Analysis of Outcomes Between Traditional Open versus Mini-Open Approach in Surgical Treatment of Spinal Metastasis.传统开放手术与微创入路在脊柱转移瘤手术治疗中的结局分析。
World Neurosurg. 2019 Oct;130:e467-e474. doi: 10.1016/j.wneu.2019.06.121. Epub 2019 Jun 24.
5
Robotic Surgery Assisted Staged En-Bloc Sacrectomy for Sacral Chordoma: A Case Report.机器人手术辅助分期整块骶骨切除术治疗骶骨脊索瘤：1例报告
JBJS Case Connect. 2019 Apr-Jun;9(2):e0240. doi: 10.2106/JBJS.CC.18.00240.
6
Utility of Cement Augmentation via Percutaneous Fenestrated Pedicle Screws for Stabilization of Cancer-Related Spinal Instability.经皮开窗椎弓根螺钉骨水泥强化在治疗癌性脊柱不稳中的应用。
Oper Neurosurg (Hagerstown). 2019 May 1;16(5):593-599. doi: 10.1093/ons/opy186.
7
Change in the cross-sectional area of the thecal sac following balloon kyphoplasty for pathological vertebral compression fractures prior to spine stereotactic radiosurgery.脊柱立体定向放射外科手术前，球囊后凸成形术治疗病理性椎体压缩骨折后硬膜囊横截面积的变化。
J Neurosurg Spine. 2018 Oct 19;30(1):111-118. doi: 10.3171/2018.6.SPINE18206. Print 2019 Jan 1.
8
A mini-open transspinous approach for resection of intramedullary spinal cavernous malformations.一种用于切除髓内脊髓海绵状血管畸形的微型开放经椎弓根入路。
J Clin Neurosci. 2018 Dec;58:210-212. doi: 10.1016/j.jocn.2018.10.028. Epub 2018 Oct 13.
9
Minimal Access Surgery for Spinal Metastases: Prospective Evaluation of a Treatment Algorithm Using Patient-Reported Outcomes.脊柱转移瘤的微创外科手术：使用患者报告结局对一种治疗方案的前瞻性评估
World Neurosurg. 2018 Dec;120:e889-e901. doi: 10.1016/j.wneu.2018.08.182. Epub 2018 Sep 4.
10
Minimally Invasive Microsurgical Resection of Primary, Intradural Spinal Tumors is Feasible and Safe: A Consecutive Series of 83 Patients.经皮微创内窥镜手术治疗原发性椎管内肿瘤的可行性和安全性：一项连续 83 例患者的研究。
Neurosurgery. 2018 Mar 1;82(3):365-371. doi: 10.1093/neuros/nyx253.
Zotero 插件