后路肿瘤摘除固定融合一期手术治疗颈椎椎管内肿瘤

目的探讨经后路全椎板切除摘除椎管内肿瘤,同时行颈椎侧块或椎弓根内固定植骨融合治疗颈椎椎管内肿瘤的临床疗效. 方法采用该手术方法治疗颈椎椎管内肿瘤8例. 结果所有患者术后早期(3周以内)可下床活动,无一例出现眩晕、颈痛、头痛等颈椎不稳的表现.随访6个月～2年未见后凸畸形发生,颈椎活动不受限制,内固定物无松动断裂. 结论经后路全椎板切除同时行经颈椎侧块或椎弓根内固定植骨融合治疗颈椎管内肿瘤,能够维持手术后颈椎的稳定性,防止远期后凸畸形的发生.

Tumorectomy with Cervical Vertebral Fusion for Cervical Intraspinal Canal Tumor by Posterior Approach

Objective To explore the clinical effects of one-stage surgery of tumor excision and cervical vertebral fusion through posterior approach for cervical intraspinal tumor. Method 8 cases with cervical intraspinal tumor were analyzed retrospectively. They underwent one-stage surgery of tumor excision and internal fixation fusion through posterior approach. Result All cases could ambulate in 3 weeks postoperatively without cervical instability syptoms of vertigo, cervicodynia or headache. The follow-up time was 6 months to 2 years. No cervical kyphosis or internal fixator failure was detected. Conclusion The one-stage surgery of tumor excision and internal fixation and fusion through posterior approach can maintain the cervical stability and prevent the occurrence of kyphosis.