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Spinal Metastasis with Spinal Canal Compression Treated by Surgically Controlled Vertebroplasty

外科控制式椎體形成術在轉移性脊椎腫瘤併脊髓腔壓迫人的應用

摘要


目的 對於轉移性脊椎腫瘤併脊髓腔壓迫病人的處理是複雜的。我們評估採用外科控制式椎體成形術和椎板減壓術處理這類病人。 方法 從2003年2月至2004年2月,共五個轉移性脊椎腫瘤併脊髓腔壓迫的病人,在我們部門接受治療。 結果 手術結果相當令人滿意,所有病人都恢復神經功能,且椎體的疼痛也都改善。 結論 從我們的經驗得知,外科控制式椎體成形術合併椎板減壓術,對於轉移性脊椎腫瘤併脊髓腔壓迫病人的處理,乃是一安全而有效的方法。(中台灣醫誌2004 ; 9 :113 一8 )

並列摘要


Objectives. Treatment of patients with spinal metastasis and spinal canal compression is complex. We evaluated surgically controlled vertebroplasty and laminectomy for treating patients and compared our results to those from other studies. Methods. From February 2003 to February 2004, five patients with spinal metastasis and spinal canal compression were treated by combined vertebroplasty and decompressive laminectomy in our department. Results. The surgical results were satisfactory. All patients regained neurologic function and axial pain improved. No surgical complications were found. Conclusions. Limited laminectomy combined with surgically controlled vertebroplasty is asafe and effective method for treating patients with spinal metastases and epidural compression. ( Mid Taiwan J Med 2004;9:113-8 )

並列關鍵字

metastasis spinal tumor vertebroplasty

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