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原发性椎管内肿瘤一旦诊断明确,手术切除是唯一选择。传统的手术方式为后路全椎板切除肿瘤摘除术,手术暴露充分,但易导致术后脊柱不稳[1、2]、瘢痕粘连,并引起医源性椎管狭窄,影响远期疗效。我院从2005年1月～2010年1月采用棘突椎板复合体揭盖式掀起、肿瘤切除后棘突椎板复合体回植的方法治疗原发性腰椎管内肿瘤13例,效果满意,报告如下。
Once the diagnosis of primary spinal tumors clear, surgical resection is the only option. The traditional surgical approach posterior total laminin resection of the tumor, adequate surgical exposure, but easily lead to postoperative spinal instability [1,2], scar adhesion, and cause iatrogenic spinal stenosis, affecting long-term efficacy. In our hospital from January 2005 to January 2010 using the spinous process lamina lug off type set off after tumor resection of the spinous process laminar composite method for the treatment of primary lumbar spinal canal tumor in 13 cases with satisfactory results, The report is as follows.