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目的评价一期后路全脊柱整块切除治疗侵袭性脊柱血管瘤的手术疗效。方法对16例胸段脊柱血管瘤骨外生长压迫脊髓引起神经功能障碍患者采用一期后路全脊柱整块,椎体重建植骨融合,后路椎弓根螺钉系统内固定治疗。4例术后辅以放射治疗,观察疗效。结果术中失血量为600~2 000 ml。患者术后神经压迫症状均消失,随访1~4年,未见肿瘤复发,植骨均融合,内固定未见松动断裂。结论一期后路全脊柱整块切除、椎体重建植骨融合、后路椎弓根螺钉系统固定是治疗胸椎椎体血管瘤合并胸脊髓压迫症患者的一种有效方法。
Objective To evaluate the surgical results of anterior posterior total spondylectomy for the treatment of aggressive thrombolysoma. Methods A total of 16 patients with thoracic spinal hemangioma with external spinal cord compression and neurological dysfunction were treated with one-stage total spine block, vertebral body reconstruction and bone graft fusion, and posterior pedicle screw fixation. Four cases were assisted by radiotherapy and the curative effect was observed. Results The intraoperative blood loss was 600-2 000 ml. Patients with postoperative symptoms of nerve compression were disappeared, followed up for 1 to 4 years, no tumor recurrence, bone graft were fusion, no loose fixation fracture. Conclusions The posterior approach of total spine excision, vertebral body reconstruction and bone graft fusion and posterior pedicle screw fixation is an effective method for the treatment of thoracic vertebral hemangioma with thoracic spinal cord compression.