Coraddu M, Floris F, Nurchi G C, Rachele M G, Marrosu F, Todde P F
Division of Neurosurgery, S. Michele Hospital, Cagliari, Italy.
J Neurosurg Sci. 1994 Mar;38(1):51-3.
We present a case of chordoma of cervical spine with spinal cord compression at the level C4-C5-C6 in a woman of 65 years old. The diagnosis depends on the results of the histological studies and especially the studies of the labeled elements as protein S 100. For the operation was used an anterior approach and a somatectomy of the interested vertebrae. The cervical spine was synthesized using a bone autograft and the stabilization was made possible through a HaloVest. The patient then underwent radiotherapy (50 Gy); the preoperative deficit disappeared totally and at the present moment there are no signs of clinical on radiological relapse.
我们报告一例65岁女性颈椎脊索瘤,肿瘤位于C4 - C5 - C6水平,伴有脊髓受压。诊断依赖于组织学研究结果,尤其是对标记元素如蛋白S 100的研究。手术采用前路入路并切除受累椎体。使用自体骨移植对颈椎进行了重建,并通过头环背心实现了稳定。患者随后接受了放疗(50 Gy);术前的功能缺损完全消失,目前没有临床或放射学复发的迹象。