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目的:探讨经后路椎板切除摘除椎管内肿瘤,同时行颈椎侧块内固定植骨融合治疗颈椎椎管内肿瘤的临床疗效。方法:采用该手术方法治疗颈椎椎管内肿瘤10例。结果:所有患者术后早期(3周以内)可下床活动,无1例出现眩晕、颈痛、头痛等颈椎不稳的表现。随访6个月～2年未见后凸畸形发生,颈椎活动不受限制,内固定物无松动断裂。结论:经后路椎板切除同时行经颈椎侧块内固定植骨融合治疗颈椎管内肿瘤,能够维持手术后颈椎的稳定性,防止远期后凸畸形的发生。
Objective: To investigate the clinical efficacy of posterior laminectomy for removal of intraspinal tumors and simultaneous cervical spondylolysis and internal fixation of fusion for cervical spinal tumors. Methods: The surgical treatment of cervical spinal canal tumors in 10 cases. Results: All patients were able to get out of bed in the early postoperative period (less than 3 weeks). None of the patients had vertebral instability due to vertigo, neck pain or headache. No follow-up of 6 months to 2 years kyphosis occurred, cervical activity is not limited, no loose internal fixation fracture. Conclusion: Posterior posterior laminectomy with internal fixation of cervical spine and internal fixation for the treatment of cervical spinal tumors can maintain the stability of the cervical spine after surgery and prevent the occurrence of long-term kyphosis.