Fusion following lateral mass reconstruction in the cervical spine
Fusion following lateral mass reconstruction in the cervical spine
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DOI：
10.3171/2014.10.spine13858
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发表时间：
2015-02-01
影响因子：
2.8
通讯作者：
Wolinsky, Jean-Paul
中科院分区：
文献类型：
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作者：
Clarke, Michelle J.;Zadnik, Patricia L.;Wolinsky, Jean-Paul
最近，积极的外科技术和对某些肿瘤的整体切除的推动导致了对创造性脊柱重建的需要。这些切除术后的医源性不稳定需要一个深思熟虑的方法来充分地将承载力从颅骨和上颈椎转移到轴下spine.METHODS作者提出了一系列的7个病例，其中侧块重建与笼或腓骨支柱移植物用于提供承载支持，结果作者讨论了高颈段肿瘤整块切除术的手术细节，并解释了侧块融合器放置的技术。此外，他们提供了使用这些结构在整个颅颈交界处和轴下spine.CONCLUSIONS侧块重建提供了一个潜在的替代或辅助方法，恢复颈椎的承重能力。
OBJECT Recently, aggressive surgical techniques and a push toward en bloc resections of certain tumors have resulted in a need for creative spinal column reconstruction. latrogenic instability following these resections requires a thoughtful approach to adequately transfer load-bearing forces from the skull and upper cervical spine to the subaxial spine.METHODS The authors present a series of 7 cases in which lateral mass reconstruction with a cage or fibular strut graft was used to provide load-bearing support, including 1 case of bilateral cage placement.RESULTS The authors discuss the surgical nuances of en bloc resection of high cervical tumors and explain their technique for lateral mass cage placement. Additionally, they provide their rationale for the use of these constructs throughout the craniocervical junction and subaxial spine.CONCLUSIONS Lateral mass reconstruction provides a potential alternative or adjuvant method of restoring the load-bearing capabilities of the cervical spine.