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累及椎体及附件的颈椎恶性肿瘤,由于椎动脉穿行于横突孔内,肿瘤位置深在,手术风险较大,围手术期并发症多,所以手术治疗棘手。本文介绍我科从2009年10月到2011年1月收治的2例累及椎体和附件颈椎肿瘤的患者,并对该部位肿瘤进行一期前后联合入路脊椎全切加重建,现报道如下。临床资料患者1,男,64岁,因“摔伤致颈部疼痛伴活动受限8d”入院,入院查体:颈3椎体棘突压痛
Involved in vertebral body and attachment of cervical malignancies, because the vertebral artery perforation within the transverse hole, the tumor deep, the greater the risk of surgery, perioperative complications, so the surgical treatment of intractable. This article describes our department from October 2009 to January 2011 admitted to 2 cases of patients with cervical and vertebral tumors involving the vertebral body and attachment, and the site of the tumor before and after the combined approach of total spine reconstruction, are reported below. Clinical data Patient 1, male, 64 years old, because of “falls caused by neck pain with limited activities 8d ” admission, admission examination: cervical spondylolisthesis tenderness