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骶骨巨细胞瘤切除术后的碳纤维腰骶骨盆重建：病例说明

Carbon fiber lumbopelvic reconstruction following sacral giant cell tumor resection: illustrative case.

作者信息

Raso Jon, Chi Jialun, Labaran Lawal A, Frank Charles, Shen Francis H

出版信息

J Neurosurg Case Lessons. 2023 Mar 13;5(11). doi: 10.3171/CASE22555.

DOI:10.3171/CASE22555
PMID:36916526
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10550644/
Abstract

BACKGROUND

The use of carbon fiber or polyetheretherketone spine constructs has proven to be a safe and effective alternative to standard metal alloy. The mechanical properties of carbon fiber while unique provide a construct that is comparable in strength to previous titanium-based constructs and have additionally shown greater fatigue resistance. These constructs have been especially useful for the mechanical stabilization of the spine following tumor resection. The subsequent interference seen when imaging a patient with a traditional metallic construct is reduced and allows for improved tumor surveillance after the procedure, and a more accurate delivery of radiotherapy when indicated.

OBSERVATIONS

This case report details the treatment of a 25-year-old female diagnosed with a sacral giant cell tumor. The authors discuss the use of a carbon fiber-reinforced polyetheretherketone for lumbopelvic reconstruction.

LESSONS

Carbon fiber-reinforced polyetheretherketone with its radiolucency and rigidity is a reliable option for complex spinal reconstruction after tumor resection.

摘要

背景

事实证明，使用碳纤维或聚醚醚酮脊柱植入物是标准金属合金的一种安全有效的替代品。碳纤维的机械性能独特，其提供的植入物强度与先前的钛基植入物相当，并且还表现出更高的抗疲劳性。这些植入物对于肿瘤切除术后脊柱的机械稳定特别有用。与传统金属植入物相比，对植入该植入物的患者进行成像时所看到的后续干扰减少，这有助于术后更好地监测肿瘤，并且在需要时能更准确地进行放射治疗。

观察结果

本病例报告详细介绍了一名25岁被诊断为骶骨巨细胞瘤的女性的治疗情况。作者讨论了使用碳纤维增强聚醚醚酮进行腰骶部重建。

经验教训

具有射线可透过性和刚性的碳纤维增强聚醚醚酮是肿瘤切除术后复杂脊柱重建的可靠选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cfc/10550644/cd283ecbf8be/CASE22555f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cfc/10550644/f51e4090532d/CASE22555f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cfc/10550644/d643bdee95b6/CASE22555f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cfc/10550644/e40b3ae02f2d/CASE22555f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cfc/10550644/c0fdf6c819b8/CASE22555f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cfc/10550644/cd283ecbf8be/CASE22555f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cfc/10550644/f51e4090532d/CASE22555f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cfc/10550644/d643bdee95b6/CASE22555f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cfc/10550644/e40b3ae02f2d/CASE22555f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cfc/10550644/c0fdf6c819b8/CASE22555f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cfc/10550644/cd283ecbf8be/CASE22555f5.jpg

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本文引用的文献

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Utility of carbon fiber instrumentation in spinal oncology.碳纤维器械在脊柱肿瘤学中的应用
Heliyon. 2021 Aug 13;7(8):e07766. doi: 10.1016/j.heliyon.2021.e07766. eCollection 2021 Aug.
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Cement-Augmented Carbon Fiber-Reinforced Pedicle Screw Instrumentation for Spinal Metastases: Safety and Efficacy.
骨水泥增强碳纤维增强椎弓根螺钉内固定治疗脊柱转移瘤的安全性和有效性。
World Neurosurg. 2021 Oct;154:e536-e546. doi: 10.1016/j.wneu.2021.07.092. Epub 2021 Jul 30.
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Integrated Custom Composite Polyetheretherketone/Carbon fiber (PEEK/CF) Vertebral Body Replacement (VBR) in the Treatment of Bone Tumors of the Spine: A Preliminary Report From a Multicenter Study.多中心研究的初步报告：聚醚醚酮/碳纤维（PEEK/CF）整体定制复合材料椎体置换（VBR）在脊柱骨肿瘤治疗中的应用
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Radiolucent Carbon Fiber-Reinforced Implants for Treatment of Spinal Tumors-Clinical, Radiographic, and Dosimetric Considerations.用于治疗脊柱肿瘤的透明碳纤維增强植入物-临床、放射学和剂量考虑因素。
World Neurosurg. 2021 Aug;152:61-70. doi: 10.1016/j.wneu.2021.05.100. Epub 2021 May 29.
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Neurosurg Focus. 2021 May;50(5):E13. doi: 10.3171/2021.2.FOCUS20995.
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