期刊文献+
任意字段
题名或关键词
题名
关键词
文摘
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息

儿童椎管内肿瘤不同术式对脊柱稳定性的影响

暂未订购
导出
摘要 目的:探讨研究儿童椎管内肿瘤手术对脊椎脊柱的稳定性的影响。方法:儿童椎管内恶性肿瘤29例,其中行椎管扩大成形术9例,行椎板复位并钛板固定术20例。术后皆予一定程度的康复训练。术后3年观察远期脊柱稳定性情况。结果:(1)手术椎板节段:A组2.33±0.94,B组2.80±1.21,手术显露与切除:A组5例,B组10例。两组比较差异无统计学意义(P>0.05);(2)JOA运动评分:A组2.22±1.13,B组2.40±1.20,两组比较差异无统计学意义(P>0.05)。两组术后3年均有不同程度的脊柱失稳情况,其中颈段发生率最高,胸段发生率最低。结论:儿童期髓内肿瘤以恶性肿瘤多见,恶性程度低者行椎板复位并钛板固定术,恶性程度高者行椎板切除并扩大成形术。
作者 陈阳 王贵怀
机构地区 长江航运总医院神经外科 北京天坛医院神经外科
出处 《交通医学》 2014年第1期14-15,共2页 Medical Journal of Communications
关键词 星形细胞瘤 脊柱侧凸畸形 脊柱稳定性 椎板切除术 儿童
分类号 R730.264 [医药卫生—肿瘤]
  • 相关文献

参考文献6

  • 1朴明学,王贵怀,杨俊.脊髓髓内星形细胞瘤的显微外科治疗[J].中国微侵袭神经外科杂志,2010,15(3):106-108. 被引量：11
  • 2Chiba K, Ogawa Y, Ishii K, et al. Long-term results of ex- pansive open-door laminoplasty for cervical myelopathy-- average 14-year follow-up study[J]. Spine (Phila Pa 1976), 2006, 31(26): 2998-3005.
  • 3McGirt MJ, Garc~s-Ambrossi GL, Parker SL, et al. Shot- term progressive spinal deformity following laminoplasty ver- sus laminectomy for resection of in tradural spinal tumors: analysis of 238 patients[J]. Neurosurgery, 2010, 66(5): 1005- 1012.
  • 4Raab P, Juergen K, Gloger H, et al. Spinal deformity after multilevel osteoplastic laminotomy [J]. Int Orthop, 2008, 32 (3): 355-359.
  • 5Tadepalli SC, Gandhi AA, Fredericks DC, et al. Cervical laminoplasty construct stability:an experimental and finite el- ement investigation[J]. Iowa Orthop J, 2011, 31: 207-214.
  • 6Trobisch PD, Samdani A, O'neil C, et al. Non-operative treatment for severe forms of infantile idiopathic scoliosis[J]. Z Orthop Unfall, 2012, 150(1): 52-55.

二级参考文献11

  • 1McCormick PC, Tortes R, Post KD, et al. Intramedullary ependymoma of the spinal cord [J]. J Neurosurg, 1990, 72 (4): 523-532.
  • 2Yang S, Yang X, Hong G. Surgical treatment of one hundred seventy-four intmmedullary spinal cord tumors [J]. Spine, 2009, 34(24): 2705-2710.
  • 3Scheinemann K, Bartels U, Huang A, et al. Survival and functional outcome of childhood spinal cord low-grade gliomas. Clinical artical [J]. J Neurosurg Pediatr, 2009, 4 (3): 254-261.
  • 4Benes V 3rd, Barsa P, Benes V Jr, et al. Prognostic factors in intramedullary astrocytomas: a literature review [J]. Eur Spine J, 2009, 18(10): 1397-1422.
  • 5Matsuyama Y, Sakai Y, Katayama Y, et al. Surgical results of intramedullary spinal cord tumor with spinal cord monitoring to guide extent of resection [J]. J Neurosurg Spine, 2009, 10(5): 404-13.
  • 6Sun J, Wang Z, Li Z, et al. Microsurgical treatment and functional outcomes of multi-segment intramedullary spinal cord tumors [J]. J Clin Neurosci, 2009, 16(5): 666-671.
  • 7McGirt M J, Goldstein IM, Chaichana KL, et al. Extent of surgical resection of malignant astrocytomas of the spinal cord: outcome analysis of 35 patients [J]. Neurosurgery, 2008, 63(1): 55-61.
  • 8Minehan K J, Brown PD, Scheithauer BW, et al. Prognosis and treatment of spinal cord astrocytoma [J]. Int J Radiat Oncol Biol Phys, 2009, 73(3): 727-733.
  • 9Nakamura M, Ishii K, Watanabe K, et al. Surgical treatment of intramcdullary spinal cord tumors: prognosis and complications [J]. Spinal Cord, 2008, 46(4): 282-286.
  • 10Tobias ME, McGirt M J, Chaichana KL, et al. Surgical management of long intramedullary spinal cord tumors [J]. Childs Nerv Syst, 2008, 24(2): 219-223.

共引文献10

交通医学
2014年 第1期

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部