Lee T C
Department of Neurosurgery, Chang Gung Memorial Hospital, Kaohsiung Hsien, Taiwan.
Ann Acad Med Singap. 1993 May;22(3 Suppl):418-21.
For a long time, radiotherapy was considered as the best treatment for spinal metastases. However, radiotherapy alone could not resolve the problem of pathological fracture which is an important complication of spinal metastases. In this paper, we introduce pedicle fixation system as an adjuvant to radiotherapy to treat eight patients with thoracolumbar metastases. The result was encouraging that all the patients achieved spinal stabilisation and all but one had immediate postoperative relief of back pain. The operation time was short and none of the patients required a blood transfusion. Tissue diagnosis was possible through this approach.
长期以来，放射治疗一直被视为脊柱转移瘤的最佳治疗方法。然而，单纯放射治疗无法解决脊柱转移瘤的重要并发症——病理性骨折问题。在本文中，我们介绍了椎弓根固定系统作为放射治疗的辅助手段，用于治疗8例胸腰椎转移瘤患者。结果令人鼓舞，所有患者均实现了脊柱稳定，除1例患者外，其余患者术后背痛均立即缓解。手术时间短，所有患者均无需输血。通过这种方法可以进行组织诊断。
