超声骨刀联合硫酸钙人工骨植入在腰椎管肿瘤手术中的应用

Abstract
Figure/Table
References (0)
Related Citation (15)

Download: PDF (0 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To evaluate piezosurgery and artificial bone graft with Calcium Sulfate during recapping laminoplasty in the operation of lumbar intraspinal tumors. Methods We reviewed 79 patients with lumbar intraspinal tumor from Jan 2018 to Jan 2021，including 46 males and 33 females，aged from 21 to 78 years old，with an average age of (39.8±14.7)years，who underwent operations using piezosurgery and artificial bone graft with Calcium sulfate to recap laminoplasty.We analyzed all of surgical data，including the amount of surgical blood loss，the duration of operation and recapping laminoplasty.The therapeutic outcome were assess by the complications，imaging changes and bone fusion postoperatively.Results In the 79 cases，(1.7±0.7)vertebrae were dissected by piezosurgery，and no complications such as dural matter tear，neurovascular injury were observed except 1case of dural rupture.The mean intraoperative blood loss was (276.1±69.7)mL，and the duration of operation was (124.8±21.7)min.About each vertebral body，the laminectomy took averagely (8.2±2.8)min and replantation was (6.7±2.9)min.The postoperative recovery was (12.5±3.0)days.The mean follow-up time was (9.7±3.5)months.MRI and CT showed good alignment of the spinous process lamina complex，without displacement，collapse，and other spinal-stenosis phenomena.The calcium sulfate was absorbed，and sclerotic zone around bone defect area were confirmed in 53 cases (67.1%).Conclusion Replantation of the spinous process and lamina complex using ultrasonic bone curette and bone graft with Calcium Sulfate in the resection of lumber spinal cord tumors is safe and reliable，which is conductive to the bone graft fusion and promising outcomes.

Key words： piezosurgery laminoplasty calcium sulfate lumbar vertebrae intraspinal tumor

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	Shi Liang
	Yan Tao
	Wang Hanbin
	Wang Keda
	Liu Longqi
	Su Yibing

Cite this article:

Shi Liang,Yan Tao,Wang Hanbin, et al. Laminoplasty by Piezosurgery and Artificial Bone Graft with Calcium Sulfate within Lumbar Intraspinal Tumors[J]. sygkzz, 2022, 28(3): 193-197.

URL:

http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2022/V28/I3/193

［1］Fassett DR，Clark R，Brockmeyer DL，et al.Cervical spine deformity associated with resection of spinal cord tumors ［J］.Neurosurg Focus，2006，20(2)：E2.
［2］Bhimani AD，Denyer S，Esfahani DR，et al.Surgical complications in intradural extramedullary spinal cord tumors-an ACS-NSQIP analysis of spinal cord level and malignancy ［J］.World Neurosurg，2018(117)：e290-e299.
［3］Raimondi AJ，Gutierrezf FA，Dirocco C.Laminotomy and total reconstruction of the posterior spinal arch for spinal canal surgery in childhood ［J］.Neurosurg，1976，45(5)：555-560.
［4］Franzini A，Legnani F，Beretta E，et al.Piezoelectric surgery for dorsal spine：A technical note ［J］.World Neurosurg，2018(114)：58-62.
［5］王振宇，林国中，谢京城，等.椎板成形术在椎管内肿瘤手术中的应用［J］.中国微创外科杂志，2011，11(12)：1088-1090.
［6］Park SB，Jahng TA，Kim CH，et al.Thoracic and lumbar laminoplasty using a translaminar 8cⅫ：morphometric study and technique ［J］.J Neurosurg Spine，2009，10(6)：603-609.
［7］Bernhard J，Schailer R，Gruber HA，et al.Piezoelectric bone surgery：A revolutionary technique for minimally invasive surgery in cranial base and spinal surgery Technical note ［J］.Operative Neurosurgery，2005，57(3)：410-411.
［8］阎涛，苏亦兵，史良，等.超声骨科系统在椎管内肿瘤术中椎板棘突复合体切除及回植中的应用［J］.山西医药杂志，2019，48(14)：1678-1680.
［9］Lei DQ，Zhou YC，Yao DX，et al.Efficacy of unilateral hemilaminectomy for intraspinal tumor resection：A systematic review and meta-analysis ［J］.Ann Palliat Med，2021，10(2)：984-999.
［10］Hu XB，Ohnmeiss DD，Lieberman IH.Use of an ultrasonic osteotome device in spine surgery：experience from the first 128 patients ［J］.Eur Spine J，2013，22(12)：2845-2849.
［11］王智运，章凯，许俊杰.棘突椎板回植内固定术重建腰椎后柱结构的早期临床研究［J］.中国修复重建外科杂志，2011，25(10)：1276-1278
［12］Mahfoudh R，Qattan E，Ellenbogen JR，et al.Applications of the ultrasonic bone cutter in spinal surgery-our preliminary experience［J］.Br J Neurosurg，2014，28(1)：56-60.
［13］Walsh WR，Morberg P，Yu Y，et al.Response of a calcium sulfate bone graft substitute in a confined cancellous defect ［J］.Clin Orthop Relat Res，2003(406)：228-236.
［14］Gmuvogel J，Scheiwe C，Kaminsky J.Use of piezosurgery for internal auditoy canal drilling in acoustic neuroma surgery ［J］.Acta Neurochir(Wien)，2011，153(10)：1941-1947.
［15］Parker SL，Kretzer RM，Recinos PF，et al.Ultrasonic bone scalpel for osteoplastic laminoplasty in the resection of intradural spinal pathology：case series and technical note［J］.Neurosurgery，2013，73(1 Suppl Operative)：61-66.
［16］Yang SH，Kim CH，Chung CK，et al.Bone fusion rate in the thoracic and lumbar spine after laminoplasty with laminar screws［J］.Spine (Phila Pa 1976)，2014，39(22)：E1325-1330.
［17］于淼，孙宇，刘忠军，等.保留单侧肌肉韧带复合体颈椎椎板成形术近期疗效的比较研究［J］.中国微创外科杂志，2011，11(1)：76-81.
［18］林国中，马长城，王振宇，等.超声骨刀椎板成形椎板植骨在椎管肿瘤手术中的应用［J］.中国微创外科杂志，2018，18(2)：101-103.
［19］Gmuvogel J，Scheiwe C，Kaminsky J.Use of piezosurgery for internal auditoy canal drilling in acoustic neuroma surgery ［J］.Spine J，2014，14(4)：628-636.
［20］Warson TJ.The use of an injectable bone graft substitute in tibial metaphyseal fractures［J］.Orthopedics，2004，27(1 Suppl)：103-107.
［21］Urban RM，Turner TM，Infanger SI，et al.An injectable calcium sulfate-based bone graft putty using hydroxypropyl methylcellulose as the plasticizer ［J］.Orthopedics，2004，27(1 Suppl)：155-159.
［22］Liao JC，Fan KF，Keorochana G，et al.Transpedicular grafting after short-segment pedicle instrumentation for thoracolumbar burst fracture：calcium sulfate cement versus autogenous lilac bone graft ［J］.Spine，2010，35(15)：1482-1488.

[1]	. [J]. sygkzz, 2022, 28(6): 533-536.