Lozes G, Fawaz A, Devos P, Wyremblewski P, Kassiotis P, Perper H, Gozet G, Pruvo J P, Jomin M
Acta Neurochir (Wien). 1987;84(3-4):118-23. doi: 10.1007/BF01418836.
The authors report their experience in the treatment of 15 cases in thoracolumbar metastases with spinal cord compression. A decompressive laminectomy was routinely performed and followed by a transversoarthropediculectomy. Most part of the neoplastic tissue was removed from the epidural space, vertebral body and retroperitoneal or retro-pleural areas. Complete decompression of the nervous elements was always achieved. Stabilization was obtained by replacement of the neoplastic vertebral body with a methylmetacrylate prothesis and eventually by Kempf's compression instrumentation. The surgical treatment was completed in a single stage operation, by a classical posterolateral approach. Orthopaedic, neurologic and oncologic advantages of this treatment are discussed.
作者报告了他们治疗15例胸腰椎转移瘤伴脊髓压迫症的经验。常规进行减压性椎板切除术，随后进行经关节突切除术。大部分肿瘤组织从硬膜外间隙、椎体以及腹膜后或胸膜后区域清除。神经组织总能实现完全减压。通过用甲基丙烯酸甲酯假体替代肿瘤椎体并最终采用肯普夫加压器械来实现稳定。手术治疗通过经典的后外侧入路在一期手术中完成。讨论了这种治疗方法在骨科、神经科和肿瘤学方面的优势。
