Anterior approaches for thoracolumbar metastatic spine tumors

被引:37
作者
Fourney, DR
Gokaslan, ZL
机构
[1] Johns Hopkins Univ Hosp, Dept Neurosurg, Baltimore, MD 21287 USA
[2] Univ Saskatchewan, Royal Univ Hosp, Div Neurosurg, Saskatoon, SK S7N 0W8, Canada
关键词
D O I
10.1016/j.nec.2004.04.008
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Most spinal metastases involve the well-vascularized vertebral bodies rather than the posterior vertebral elements. In recent years, surgeons have become familiar with anterior approaches to the spine. Although no single approach is always applicable, anterior exposures provide several advantages, including (1) direct access to the diseased vertebral body for rapid tumor removal and complete epidural decompression, (2) improved hemostasis and wound healing, and (3) the ability to reconstruct the weight-bearing anterior spinal column effectively and apply short-segment fixation devices.
引用
收藏
页码:443 / +
页数:10
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