Ker N B, Jones C B
J Bone Joint Surg Br. 1985 May;67(3):358-62. doi: 10.1302/0301-620X.67B3.3997940.
A retrospective study of 32 patients with primary tumours of the cauda equina is presented. Most of the patients were initially diagnosed as having prolapsed intervertebral discs and treated accordingly. The correct diagnosis was eventually made, usually after a long delay, and confirmed by myelography. Treatment consisted of laminectomy and excision of the tumour. Only one tumour was frankly malignant; all the remaining patients were relieved of their pain and the majority recovered completely. The exceptions were those patients with long-standing neurological deficits; this highlights the importance of early diagnosis and correct treatment before irreparable damage occurs.
本文报告了一项对32例马尾原发性肿瘤患者的回顾性研究。大多数患者最初被诊断为椎间盘突出并接受了相应治疗。通常在长时间延误后最终做出了正确诊断，并通过脊髓造影得以证实。治疗包括椎板切除术和肿瘤切除术。只有一例肿瘤为明显恶性；其余所有患者的疼痛均得到缓解，大多数患者完全康复。例外情况是那些有长期神经功能缺损的患者；这突出了在不可修复的损害发生之前进行早期诊断和正确治疗的重要性。
