Smith E, Hegde G, Czyz M, Grainger M, James S L, Botchu R
Department of Musculoskeletal Imaging, Royal Orthopaedic Hospital, Birmingham, UK.
Department of Spinal Surgery, Royal Orthopaedic Hospital, Birmingham, UK.
J Clin Orthop Trauma. 2021 Oct 16;23:101653. doi: 10.1016/j.jcot.2021.101653. eCollection 2021 Dec.
En-bloc resection of spinal tumours is a complex procedure with significant morbidity and mortality. The extensive resection leaves a large soft tissue and osseous defect requiring reconstruction. Following en-bloc resection, there may be complications relating to both the removal of the tumour and the subsequent reconstruction. This paper outlines the imaging appearances of the frequently encountered complications in our experience. The primary aim is to improve the confidence of the radiologist when reporting imaging following spinal en-bloc resection, however we believe this is also useful for the spinal and orthopaedic surgeons in assessing the patients following en block resection.
整块切除脊柱肿瘤是一项复杂的手术，具有较高的发病率和死亡率。广泛切除会留下需要重建的大面积软组织和骨缺损。整块切除术后，可能会出现与肿瘤切除及后续重建相关的并发症。本文概述了我们经验中常见并发症的影像学表现。主要目的是提高放射科医生在报告脊柱整块切除术后影像学检查时的信心，不过我们认为这对脊柱外科医生和骨科医生评估整块切除术后的患者也很有用。
