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[经全椎体切除术治疗脊柱复杂损伤与肿瘤的手术治疗可能性及展望]

[The possibilities and outlook for the surgical treatment of complicated injuries and tumors of the spine by total vertebrectomy].

作者信息

Korzh A A, Prodan A I, Gruntovskiĭ G Kh, Filippenko V A

出版信息

Vestn Khir Im I I Grek. 1993 Jan-Feb;150(1-2):51-6.

PMID:7701703
Abstract

On the basis of experimental and clinical investigations the authors consider the removal of the vertebra body as the whole block to be the optimal variant. Shortening of the vertebral column is permissible for the approximation of ends of the spinal cord or its roots for suturing without intention. The use of vertebrectomy in 9 patients with long-standing dislocation fractures and defects of the spinal cord tissues from 1 to 12 cm and in 4 patient without tumors of the vertebrae has shown that the operation with removal of as many as 3 vertebrae is quite realizable technically. However, positive clinical results are minimal for the present which requires further researches by stimulation of regenerative processes.

摘要

基于实验和临床研究,作者认为将椎体作为一个整体块切除是最佳方案。为了无意地缝合脊髓或其神经根的两端而允许脊柱缩短。对9例患有长期脱位骨折且脊髓组织缺损1至12厘米的患者以及4例无椎体肿瘤的患者进行椎体切除术的结果表明,切除多达3个椎体的手术在技术上是完全可行的。然而,目前积极的临床结果微乎其微,这需要通过刺激再生过程进行进一步研究。

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