全椎板截骨回植联合“工”型钛板在椎管内肿瘤运用疗效评价

Abstract
Figure/Table
References (0)
Related Citation (0)

Download: PDF (1867 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To evaluate the clinical efficacy of total laminectomy and replantation combined with H-shaped microtitanium plate fixation and bio-film covering for intraspinaltumors.Methods 9 cases of initial intraspinal tumor resection (extramedullary subdural) underwent total laminectomy and laminectomy with plate fixation and biofilm coverage of the dura materin situ in our hospital from June 2011 to August 2018.There were 6 males and 3 females，aged from 32 to 75 years，with an average age of (48±6)years.We recorded preoperative and postoperative ODI，VAS，MMS score，epidural fibrosis (EF)，adjacent segment degeneration (ASD)，the incidence of cerebrospinal fluid leakage complications，imaging replantation laminar healing rate and tumor recurrence rate.Results All 9 patients were followed up for 1 year or more.The final ODI，VAS scores were significantly better than those before surgery (P＜0.05).There was no case of cerebrospinal fluid leakage during perioperative period.The CT of the replanted osteotomy showed bone healing，and no loosening or fracture of the titanium plate screw was observed.No epidural fibrosis and adjacent segment degeneration occurred.Conclusion Total laminectomy and replantation combined with H-shaped titanium plate fixation and biofilm coverage for treatment of intraspinal tumors can reduce epidural fibrosis，reduce postoperative cerebrospinal fluid leakage，reduce adjacent segment degeneration，and maintain spinal stability.It is an effective procedure for the treatment of intraspinal tumors.

Key words： total lamina osteotomy replantation H-shaped titanium plate intraspinal tumors therapeutic evaluation

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors

Cite this article:

URL:

http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2019/V25/I5/393

［1］Vinken PJ，Bruyn GW.Handbook of clinical neurology［M］.New York：Elsevier，1975：1.
［2］Lai PL，Chen LH，Niu CC，et al.Relation between laminectomy and development of adjacent segment instability after lumbar fusion with pedicle fixation［J］.Spine，2004，29(22)：2527-2532.
［3］Tai CL，Hsieh PH，Chen WP，et al.Biomechanical comparison of lumbar spine instability between laminectomy and bilateral laminotomy for spinal stenosis syndrome-an experimental study in porcine model［J］.BMC Musculoskelet Disord，2008，9(1)：84.
［4］Cabukoglu C，Guven O，Yildirim Y，et al.Effect of sagittal plane deformity of the lumbar spine on epidural fibrosis formation after laminectomy：an experimental study in the rat［J］.Spine，2004，29(20)：2242-2247.
［5］王跃龙，黄思庆.不同术式切除椎管内肿瘤对脊柱稳定性的影响［J］.中华神经外科杂志，2013，29(3)：313-315.
［6］Denis F.The three column spine and its significance in the classification of acute thoracolumbar spinal injuries［J］.Spine(Phila Pa 1976)，1983，8(8)：817-831
［7］Samartzis D，Gillis CC，Shih P，et al.Intramedullary spinal cord tumors：part Ⅱ-management options and outcomes［J］.Global Spine J，2016，6(2)：176-185.
［8］谢垒，陶勇，邱勇钢，等.棘突椎板复合体揭盖式回植在治疗原发性腰椎管内良性肿瘤中的应用［J］.中国脊柱脊髓杂志，2011，21(10)：873-874.
［9］Mcgirt MJ，Garces-Ambrossi GL，Parker SL，et al.Short-terprogressive spinal deformity following laminoplasty verslaminectomy for resection of intradural spinal tumors：analyof 238 patients［J］.Neurosurgery，2010，66(5)：1005-1012.
［10］Montano N，Trevisi G，Cioni B，et al.The role of laminoplastyin preventing spinal deformity in adult patients submitted to resection of an intradural spinal tumor.Case series and literature review［J］.Clin Neurol Neurosurg，2014，125(2)：69-74.
［11］蓝涛，陈扬，钱文彬，等.棘突椎板回植联合椎弓根钉固定在椎管内肿瘤手术中的应用［J］.中国骨与关节损伤杂志，2017，29(9)：936-937.
［12］Thakur NA.Laminoplasty：Indication，techniques，and complications［J］.Semin Spine Surg，2014，26(2)：91-99.
［13］王林锋，陆成武，陈小杰，等.棘突椎板复合体回植联合空心螺钉固定在胸腰椎椎管内肿瘤切除术中的应用［J］.中国脊柱脊髓杂志，2017，27(9)：795-799.
［14］吴玉仙，纪玉清，李建民，等.椎管内肿瘤切除术后切口并发症的相关因素分析［J］.中国骨与关节损伤杂志，2016，31(3)：251-253.
［15］刘琦，马肃，吴浩，等.椎管内肿瘤行切除术后发生切口并发症的危险因素分析［J］.颈腰痛杂志，2017，38(6)：552-554.
［16］谢学升，王星，朱琦.椎板回植术在治疗腰椎管狭窄症中的临床应用［J］.实用骨科杂志，2004，10(3)：260-262.