采用后路器械辅助下的开放活检，随后通过前外侧入路切除颈椎的罕见肿瘤。
Open biopsy with posterior instrumentation followed by anterolateral approach for removal of an uncommon tumor in the cervical spine.
作者信息
Liao Jian-Cheng, Zhang Mao-Ying, Liu Yu-Sang, Ding Wei-Long, Wang Xiang-Yu, Liang Buqing, Huang Jason H
机构信息
Department of Neurosurgery, The First Affiliated Hospital of Jinan University, Guangzhou, China.
Guangdong-Hong Kong-Macau Institute of CNS Regeneration, Jinan University, Guangzhou, China.
出版信息
Proc (Bayl Univ Med Cent). 2021 Jul 26;34(6):726-728. doi: 10.1080/08998280.2021.1951061. eCollection 2021.
The conventional treatment for the resection of cervical spinal tumors comprises anterior, posterior, and combined surgical approaches. However, these approaches have certain limitations when tumors invade the vertebrae, vertebral artery, or spinal nerves. Herein, we report an interesting case where a 45-year-old patient was admitted for neck pain. An invasive cervical spinal tumor was discovered and approached in two stages: stage 1 was open biopsy with posterior instrumentation, which was followed by stage 2 with an anterolateral approach for definitive surgical resection. A series of preoperative tests including angiography as well as a balloon occlusion test of the vertebral artery facilitated stage 2 surgical planning for gross total resection of the tumor while minimizing surgical complications.
颈椎肿瘤切除的传统治疗方法包括前路、后路和联合手术入路。然而，当肿瘤侵犯椎体、椎动脉或脊神经时，这些方法存在一定局限性。在此，我们报告一例有趣的病例，一名45岁患者因颈部疼痛入院。发现了一例侵袭性颈椎肿瘤，并分两个阶段进行处理：第一阶段是后路内固定下的开放活检，随后第二阶段采用前外侧入路进行确定性手术切除。一系列术前检查，包括血管造影以及椎动脉球囊闭塞试验，有助于第二阶段手术规划，以实现肿瘤的全切除，同时将手术并发症降至最低。
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