Eggert H R, Scheremet R, Seeger W, Gaitzsch J
Acta Neurochir (Wien). 1983;67(3-4):245-53. doi: 10.1007/BF01401426.
The operative technique of limited approaches to extramedullary spinal tumours is described. The results after unilateral approaches are as satisfying as after standard laminectomies. The rationale of attempting an unilateral approach is to avoid damage to the dorsal static structures of the vertebral column. Access given by limited approach and possibilities of enlarging the bony defect depending on the topographical situation of the tumour are discussed in detail. It is emphasized that the dura should be opened only over the tumour in order to avoid protrusion of the cord.
描述了髓外脊柱肿瘤有限入路的手术技术。单侧入路后的结果与标准椎板切除术后的结果一样令人满意。尝试单侧入路的基本原理是避免损伤脊柱的背侧静态结构。详细讨论了有限入路提供的入路以及根据肿瘤的地形情况扩大骨缺损的可能性。强调应仅在肿瘤上方打开硬脑膜,以避免脊髓突出。