Zhang Dongao, Fan Tao, Fan Wayne, Zhao Xingang
Spine Center, Sanbo Brain Hospital, Capital Medical University, Beijing, People's Republic of China; and.
Faculty of Science, The University of British Columbia, Vancouver, British Columbia, Canada.
J Neurosurg Case Lessons. 2021 Apr 26;1(17):CASE2190. doi: 10.3171/CASE2190.
The anterior cervical corpectomy and fusion approach has been reported for the removal of ventral cervical tumors. However, the normal cervical vertebral body and the adjacent intervertebral discs have to be sacrificed. In this paper, the authors describe a novel anterior cervical transvertebral approach for the resection of cervical intraspinal ventral lesions.
A patient presented with an anteriorly placed extramedullary cyst. An anterior cervical transvertebral open-window and close-window approach was designed and applied to resect an intraspinal ventral enterogenous cyst. With this novel technique, a square was cut through the whole vertebral body at the four sides. After the cyst resection, the bone block was restored and fixed with a titanium miniplate. The lesion was totally resected, and the compression of the spinal cord was relieved. The physiological function of the cervical spine was kept intact after the operation. There was no postsurgical complication. The cervical alignment was normal at the 1-year postoperative follow-up.
The anterior cervical transvertebral open-window and close-window approach was developed and confirmed to be effective for the resection of cervical intraspinal lesions. The cervical physiological structure and function can be restored with this new technique.
据报道，颈椎椎体次全切除融合术可用于切除颈椎前路肿瘤。然而，正常的颈椎椎体和相邻椎间盘必须被牺牲。在本文中，作者描述了一种用于切除颈椎椎管内腹侧病变的新型颈椎经椎体入路。
一名患者出现位于前方的髓外囊肿。设计并应用颈椎经椎体开窗及关窗入路切除椎管内腹侧肠源性囊肿。采用这种新技术，在椎体四周完整切除一个方形骨块。囊肿切除后，将骨块复位并用微型钛板固定。病变被完全切除，脊髓压迫得以解除。术后颈椎生理功能保持完整。无术后并发症。术后1年随访时颈椎排列正常。
开发并证实颈椎经椎体开窗及关窗入路对切除颈椎椎管内病变有效。采用这项新技术可恢复颈椎生理结构和功能。
