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首页> 外文期刊>Egyptian Journal of Neurosurgery >Cervical corpectomy for sub-axial retro-vertebral body lesions
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Cervical corpectomy for sub-axial retro-vertebral body lesions

机译:颈椎椎体切除术治疗亚轴后椎体病变

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摘要

The sub-axial vertebrae are formed of body, pedicles, laminae, facets, and spinous process. Cervical cord compression by anteriorly located retro-vertebral traumatic, inflammatory, neoplastic, and degenerative lesions is not rare, and in such cases, simple discectomy does not solve the problem. Corpectomy, grafting, and plating may help in management of these dangerous lesions. From May 2014 to December 2016, 30 cases with cervical myelopathy due to anteriorly located retro-vertebral traumatic, inflammatory, neoplastic, and degenerative lesions were operated upon by single, double, or triple levels corpectomy, grafting by bone graft or corpectomy cage and plating. Patients were followed up for 1 to 3 years both clinically and radiologically. Improvement of myelopathic manifestations (partial or complete) occurred in all cases within a variable time from 3 to 15 months. Bony fusion was sound in 27 cases and poor in 3 cases. Post-operative complications were mild and reversible. Corpectomy, grafting, and plating give a very good decompressive chance to the compressed cord by retro-vertebral lesions without any added risk.
机译:亚轴椎骨由身体,椎弓根,薄片,小平面和棘突形成。椎体后部外伤,炎性,肿瘤性和退行性病变对颈椎的压迫并不罕见,在这种情况下,简单的椎间盘切除术并不能解决问题。尸体切除术,嫁接术和钢板可能有助于处理这些危险的病变。 2014年5月至2016年12月,对30例因椎体后部创伤,炎性,肿瘤性和退行性病变而导致的颈椎病患者进行了单,双或三级大体切除术,骨移植或大体切除术笼架和钢板的手术治疗。在临床和放射学方面对患者进行了1至3年的随访。在所有情况下,在3到15个月的可变时间内,均改善了骨髓病的表现(部分或完全)。骨融合良好者27例,不良者3例。术后并发症轻度且可逆。椎体切除术,移植术和钢板可为椎管后病变带来良好的减压机会,而不会增加任何风险。

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