中国组织工程研究Issue(13)：2071-2076,6.DOI:10.3969/j.issn.2095-4344.2014.13.018
单侧或双侧钉棒系统置入治疗椎管及椎间孔神经鞘瘤：脊椎稳定性评价
Unilateral or bilateral nail-rod system for schwannoma in the spinal canal or intervertebral foramen:evaluation of spinal stabilization
张鹏 1王亭 1曲邵政 2张金锋 3李书忠1
作者信息
- 1. 青岛大学，山东省青岛市 266003
- 2. 解放军第一○七医院，山东省烟台市 264000
- 3. 青岛海慈医疗集团骨科，山东省青岛市 266003
- 折叠
摘要
Abstract
BACKGROUND:The choice of schwannoma resection is strongly associated with whether the tumor was completely resected, whether stretch during resection injures spinal nerves, and final y with the prognosis of treatment. <br> OBJECTIVE:To evaluate the spinal stabilization after laminectomy combining unilateral or bilateral nail-rod system for schwannoma in the spinal canal or intervertebral foramen. <br> METHODS:A total of 48 cases of schwannoma in the spinal canal or intervertebral foramen of neck, chest and waist underwent laminectomy combining unilateral or bilateral nail-rod system. 34 cases in spinal canal received bilateral nail-rod system, and 14 cases in the intervertebral foramen received unilateral nail-rod system. <br> RESULTS AND CONCLUSION:At 3 days and 3, 6, 12 months after internal fixation, radiograph results demonstrated that location of implants was good. Bone graft fusion was found. No spinal instability and vertebral slippage occurred. Neural functional score Bodford (1997) and quality of life score were significantly increased after treatment (P<0.01). Muscle strength assessed by Lovett grade was significantly elevated after treatment (P<0.01). Pain evaluated by Virtual Rescan grade was significantly lessened after treatment (P<0.01). Schwannoma was completely resected in 48 patients. After treatment, six patients affected leakage of cerebrospinal fluid. One case experienced infection of cerebrospinal fluid. One case had to undergo secondary operation due to the infection. Three cases received nerve root resection due to tumor erosion. These experimental results confirmed that laminectomy combining unilateral or bilateral nail-rod system for schwannoma in the spinal canal or intervertebral foramen has the advantage of the tumor ful y exposed to the operator, which can help completely resect schwannoma and effectively avoid spinal nerve injury. Even more important thing is that the spinal stability is reconstructed by unilateral or bilateral nail-rod system, which prevents the occurrence of vertebral slippage and vertebral destabilization. Long-term effect stil needs further research.关键词
植入物/脊柱植入物/神经鞘瘤/椎管内/椎间孔/钉棒系统/内固定/脊柱稳定性Key words
neurilemmoma/lumbar vertebrae/internal fixators分类
医药卫生引用本文复制引用
张鹏,王亭,曲邵政,张金锋,李书忠..单侧或双侧钉棒系统置入治疗椎管及椎间孔神经鞘瘤：脊椎稳定性评价[J].中国组织工程研究,2014,(13):2071-2076,6.
