Wuisman P
Dept of Orthopaedic Surgery Vrije Universiteit, Amsterdam, The Netherlands.
Chir Organi Mov. 1998 Jan-Jun;83(1-2):185-9.
The author reports the technique and clinical course of patients suffering from metastatic spine tumors, treated by osteosynthesis with the Polster vertebral body implant and bone cement. All tumors were treated by an open ventral procedure: curettage of the tumor, insertion of the tumor device, and correction and stabilization of the lost height. In addition, bone cement was used to strengthen the reconstruction. Subjective and objective clinical improvement was found in 64 per cent, unchanged condition in 23, per cent and new symptoms occurred in 13 per cent. In nearly all cases of clinical improvement, no deterioration recurred. Patients with metastasis died after an average of 10 months, plasmacytomas were found to have an overall survival of about two years.
作者报告了采用Polster椎体植入物和骨水泥进行骨合成治疗转移性脊柱肿瘤患者的技术及临床过程。所有肿瘤均通过开放性前路手术治疗:刮除肿瘤、植入肿瘤装置以及矫正和稳定椎体丢失的高度。此外,使用骨水泥加强重建。64%的患者主观和客观临床症状得到改善,23%的患者病情未变,13%的患者出现新症状。在几乎所有临床症状改善的病例中,均未再次出现病情恶化。发生转移的患者平均在10个月后死亡,浆细胞瘤患者的总生存期约为两年。