目的 :探讨后路减压加 L uque氏棒固定治疗脊柱转移癌的临床效果。方法 :对 1987年至 1994年 32例脊柱转移肿瘤手术患者 ,进行临床追访观察 ,比较手术效果和存活时间 ,明确手术指征和条件。结果 :本组平均存活8.7个月 ,30例患者的病变脊椎得到稳定 ,术后 91%患者疼痛缓解 ,2 4例麻痹瘫痪者中 5 8%得到至少 Frankel1级以上功能恢复。结论 :本手术方法相对安全并可有效维持中晚期患者近期脊柱稳定 ,提高患者存活期内的生活质量和方便护理 Objective: To investigate the clinical effects of posterior decompression plus L uque’s rod fixation for the treatment of metastatic spinal cancer. METHODS: Clinical follow-up observations were performed on 32 patients with spinal metastases from 1987 to 1994. The surgical outcomes and survival time were compared, and the surgical indications and conditions were clarified. Results: In this group, the average survival time was 8.7 months. The lesional spine was stable in 30 patients. Pain relief was found in 91% of patients after surgery. Fifty-eight percent of 24 paralysis patients had at least Frankel grade 1 functional recovery. Conclusion : This surgical method is relatively safe and can effectively maintain the stability of the spine in late-term patients, improve the quality of life of patients during the survival period and facilitate care