Neurosurgical treatment of pathological fracture-dislocation of the spine.
Neurosurgical treatment of pathological fracture-dislocation of the spine.
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脊柱病理性骨折脱位的神经外科治疗。
DOI：
10.3171/jns.1980.52.3.0330
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发表时间：
1980
影响因子：
4.1
通讯作者：
K. Livingston
中科院分区：
文献类型：
--
作者：
R. Perrin;K. Livingston
回顾20例有症状的病理性脊柱骨折脱位的治疗。最常见的原发疾病是乳腺癌（12例）。19例患者以疼痛为首发症状。手术时，6例患者身体虚弱但能走动，7例卧床不起，3例截瘫。颈椎（10例）是最常见的受累部位，其次是胸椎6例，腰椎4例。旨在改善或保持神经功能的治疗包括脊髓（或尾）减压，减少骨畸形和脊柱稳定。18例行椎板切除术减压。所有颈椎和3例上胸椎病理性骨折脱位患者均采用后路肋骨植骨融合固定脊柱；哈林顿棒内固定用于胸椎和腰椎下节段。所有患者均考虑进行放疗和/或化疗。十拍…
✓ The treatment of 20 patients with symptomatic pathological fracture-dislocation of the spine is reviewed. The single most common primary disease was carcinoma of the breast (12 cases). Pain was the presenting symptom in 19 patients. At the time of surgery, six patients were weak but ambulatory, seven were bedridden, and three were paraplegic. The cervical spine (10 cases) was most frequently involved, followed by the thoracic region in six, and the lumbar segments in four. Treatment aimed at improving or preserving neurological function involved decompression of the cord (or cauda) with reduction of bone deformity and stabilization of the spine. Laminectomy decompression was performed in 18 cases. Posterior rib graft fusion was used to stabilize the spine in all patients with cervical, and in three with upper thoracic, pathological fracture-dislocation; Harrington rod instrumentation was used for lower thoracic and lumbar levels. All patients were considered for radiotherapy and/or chemotherapy. Ten pat...