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中华神经创伤外科电子杂志 ›› 2017, Vol. 03 ›› Issue (06) : 369 -372. doi: 10.3877/cma.j.issn.2095-9141.2017.06.011

所属专题: 文献

综述

椎管内肿瘤与脊柱稳定性
沈林1, 范益民1,(), 刘晓东1   
  1. 1. 030001 太原,山西医科大学第一医院神经外科
  • 收稿日期:2017-08-08 出版日期:2017-12-15
  • 通信作者: 范益民

Intraspinal tumors and spinal stability

Lin Shen1, Yimin Fan1,(), Xiaodong Liu1   

  1. 1. Department of Neurosurgery, First Hospital of Shanxi Medical University, Taiyuan 030001, China
  • Received:2017-08-08 Published:2017-12-15
  • Corresponding author: Yimin Fan
  • About author:
    Corresponding author: Fan Yimin, Email:
引用本文:

沈林, 范益民, 刘晓东. 椎管内肿瘤与脊柱稳定性[J]. 中华神经创伤外科电子杂志, 2017, 03(06): 369-372.

Lin Shen, Yimin Fan, Xiaodong Liu. Intraspinal tumors and spinal stability[J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2017, 03(06): 369-372.

椎管内肿瘤是神经外科临床常见肿瘤之一,有较多的临床病理分型,外科切除肿瘤是其首选的治疗方法。近年来椎管内肿瘤切除和对神经功能保护的技术日渐成熟,术后对脊柱结构稳定性的保护与重建成为医生们倍受关注的焦点。本文将椎管内肿瘤与脊柱稳定性的相关影响因素进行归纳总结,展开综述如下。

Intraspinal tumor is one of clinical common tumors in Department of Neurosurgery, with many clinical pathological types. Preferred treatment is surgical removal of the tumor. In recent years, technologies of neurosurgeons for intraspinal tumor resection and neuroprotective are maturing. Postoperative protection and reconstruction of spinal structural stability has become the focus of attention. This article summarizes the relevant factors of intraspinal tumor and spinal stability.

[1]
王振宇.脊髓肿瘤外科学[M].北京:北京大学医学出版社, 2012: 65.
[2]
Wu YL,Chang CY,Hsu SS, et al. Intraspinal tumors: analysis of 184 patients treated surgically[J]. J Chin Med Assoc, 2014, 77(12): 626-629.
[3]
Denis F. The three column spine and its significance in the classification of acute thoracolumbar spinal injuries[J]. Spine (Phila Pa 1976), 1983, 8(8): 817-831.
[4]
Ferguson RL,Allen BL Jr. A mechanistic classification of thoracolumbar spine fractures[J]. Clin Orthop Relat Res, 1984, (189): 77-88.
[5]
Ng HW,Teo EC,Lee KK, et al. Finite element analysis of cervical spinal instability under physiologic loading[J]. J Spinal Disord Tech, 2003, 16(1): 55-65.
[6]
Natarajan RN,Andersson GB. The influence of lumbar disc height and cross-sectional area on the mechanical response of the disc to physiologic loading[J]. Spine, 1999, 24(18): 1873-1881.
[7]
Ofluoglu AE,Karasu A,Ekinci B, et al. The effect of laminectomy on instability in the management of degenerative lumbar stenosis surgery: a retrospective radiographic assessment[J]. Turk Neurosurg, 2007, 17(3): 178-182.
[8]
Zander T,Rohlmann A,Calisse J, et al. Estimation of muscle forces in the lumbar spine during upper-body inclination[J]. Clin Biomech (Bristol, Avon), 2001, 16(Suppl 1), s73-s80.
[9]
阮狄克,沈根标,罗卓荆,等.胸腰段各种减压术对脊柱稳定性影响的生物力学实验研究[J].生物医学工程学杂志, 1992, (1): 35-41.
[10]
Ogihara S,Seichi A,Iwasaki M, et al. Concurrent spinal schwannomas and meningiomas. Case illustration[J]. J Neurosurg, 2003, 98(3 Suppl): 300.
[11]
White AA,Panjabi MM. Clinical biomechanics of the spine[M]. 2nd ed. Philadelphia: Lippincott, Williams&Wilkins, 1990: 342-362.
[12]
车晓明.椎管内肿瘤和脊柱稳定性[J].中国现代神经疾病杂志, 2016, 16(3), 113-117.
[13]
Papagelopoulos PJ,Peterson HA,Ebersold MJ, et al. Spinal column deformity and instability after lumbar or thoracolumbar laminectomy for intraspinal tumors in children and young adults[J]. Spine (Phila Pa 1976), 1997, 22(4): 442-451.
[14]
Seppala MT,Haltia MJ,Sankila RJ, et al. Longterm outcome after removal of spinalschwannoma:a clinicopathological study of 187 cases[J]. J Neurosurg, 1995, 83(4): 621-626.
[15]
Cristante L,Herrmann HD. Surgical management ofintramedullary spinal cord tumors: functional outcome andsources of morbidity[J]. Neurosurgery, 1994, 35(1): 69-74.
[16]
Raab P,Juergen K,Gloger H, et al. Spinal deformity after multilevel osteoplastic laminotomy[J]. Int Orthop, 2008, 32(3): 355-359.
[17]
Anakwenze OA,Auerbach JD,Buck DW, et al. The role of concurrent fusion to prevent spinal deformity after intramedullary spinal cord tumor excision in children[J]. J Pediatr Orthop, 2011, 31(5): 475-479.
[18]
谢京城,王振宇,马长城,等. 660例椎管内肿瘤的手术治疗[J].中国微创外科杂志, 2009, 9(10): 940-945.
[19]
Gowers WS,Horsley V. A case of tumour of the spinal cord removal recovery[J]. Med Chir Trans, 1888, 71: 377-430.
[20]
Geng XP,Wang X,Meng T, et al. The influence of posterior approach cervical intraspinal tumor resection on the stability of cervical vertebra[J]. J Biol Regul Homeost Agents, 2015, 29(2): 389-394.
[21]
高太行,宗少晖,李兵,等.腰椎椎管内肿瘤全椎板切除术后脊柱稳定性的研究[J].医学研究生学报, 2014, 27(9): 949-951.
[22]
黄思庆,王跃龙.椎管内肿瘤手术脊柱稳定性的保护与重建[J].中国现代神经疾病杂志, 2013, 13(11): 920-923.
[23]
刘小波,林爱国,唐宏图,等.棘突椎板回植椎管成形术在椎管内肿瘤手术中的应用[J].中国临床神经外科杂志, 2010, 15(4): 243-244.
[24]
刘伟.棘突椎板切开复位并植骨融合术在椎管内肿瘤手术中的应用[J].中国现代神经疾病杂志, 2013, 13(12): 1006-1010.
[25]
王志强.椎板-棘突复位椎管重建术在椎管内肿瘤切除中的应用[J].中华医学杂志, 2014, 94(25): 1960-1962.
[26]
杨晓滨,李德康,吴珂,等.椎管肿瘤切除后椎板棘突复位术18例分析[J].中华神经外科杂志, 2010, 26(7): 647-648.
[27]
李善庆,曾宪林,杨述华. Wallis棘突间动态稳定系统治疗腰椎退行性疾病的中期疗效分析[J].华中科技大学学报(医学版), 2015, 44(3): 322-325.
[28]
刘园桐,镇万新. Dynesys动态中和系统治疗腰椎退行性疾病的研究近况[J].中国矫形外科杂志, 2015, 23(9): 811-815.
[29]
岳兵,蒋国强,卢斌,等. K-Rod脊柱动态稳定系统在多节段腰椎退行性疾病中的临床应用[J].中国骨伤, 2015, 28(11): 988-993.
[30]
Bonaldi G. Minimally invasive dynamic stabilization of the degenerated lumbar spine[J]. Neuroimaging Clin N Am, 2010, 20(2): 229-241.
[31]
Sengupta DK. Dynamic stabilization devices in the treatment of low back pain[J]. Orthop Clin North Am, 2004, 35(1): 43-56.
[32]
Spetzger U,Bertalanffy H,Naujokat C, et al. Unilateral laminotomy for bilateral decompression of lumbar spinal stenosis. Part Ⅰ: anatomical and surgical considerations[J]. Acta Neurochir (Wien), 1997, 139(5): 392-396.
[33]
Pompili A,Caroli F,Cattani F, et al. Unilateral limited laminectomy as the approach of choice for the removal of thoracolumbar neurofibromas[J]. Spine (Phila Pa 1976), 2004, 29(15): 1698-1702.
[34]
陈海锋,杨开勇,鞠延,等.半椎板切除显微手术治疗椎管内肿瘤542例临床分析[J].中华医学杂志, 2010, 90(13): 874-877.
[35]
金清东,周昆,刘智强.后路全椎板切除术和半椎板切除术治疗椎管内神经鞘瘤的效果及预后[J].中外医学研究, 2016, 14(24): 6-7.
[36]
宗少晖,王振宇.单侧半椎板开窗显微手术切除颈椎椎管内肿瘤[J].中国微创外科杂志, 2005, 5(7): 565-566.
[37]
马长城,王振宇.半椎板切除入路治疗颈椎管哑铃型肿瘤[J].中国微创外科杂志, 2001, 1(6): 336-337.
[38]
刘洪泉,王立忠,殷尚炯,等.半椎板入路脊髓肿瘤切除后椎板再植26例临床分析[J].华北国防医药, 2009, 21(1): 28-29.
[39]
卢廷胜,宫岩虎,付廷友,等.半椎板成形术治疗腰椎间盘突出症[J].中国矫形外科杂志, 2005, 13(11): 877-878.
[40]
卢廷胜,王以进,尹海磊,等.半椎板成形术对腰椎抗压强度的影响[J].中国矫形外科杂志, 2013, 21(23): 2389-2391.
[41]
Furtado SV,Murthy GK,Hegde AS. Cervical spine instability following resection of benign intradural extramedullary tumours in children[J]. Pediatr Neurosurg, 2011, 47(1): 38-44.
[42]
Sciubba DM,Chaichana KL,Woodworth GF, et al. Factors associated with cervical instability requiring fusion after cervical laminectomy for intradural tumor resection[J]. J Neurosurg Spine, 2008, 8(5): 413-419.
[43]
孙力泳,陈赞,陈永杰,等.椎管内外沟通性"哑铃"形肿瘤显微手术治疗策略[J].中国现代神经疾病杂志, 2013, 13(12): 988-994.
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