中国骨与关节杂志
中國骨與關節雜誌
중국골여관절잡지
Chinese Journal of Bone and Joint
2015年
8期
665-668
,共4页
脊柱%脊柱疾病%肿瘤%脊椎肿瘤%外科手术
脊柱%脊柱疾病%腫瘤%脊椎腫瘤%外科手術
척주%척주질병%종류%척추종류%외과수술
Spine%Spinal diseases%Neoplasms%Spinal neoplasms%Surgical procedures,operative
Cervicothoracic spine is a special position in the anatomy andbiomechanics. The anterior includes a variety of tissues, organs and nerves. And the lesion gets deeper owing to the chest. In addition, the concentrated spinal stress makes a high risk of failure of the internal fixation. So, surgical treatment is of great difficulty for primary malignant tumors at the cervicothoracic junction. There are many disputes in the surgical approach for the cervicothoracic tumors. The proximal C7-T1 lesions can obtain a clear exposure by an anterior low suprasternal approach alone. On the contrary, access to the distal T2-4 lesions through an anterior approach is generally considered to be dififcult and need to becombined with sternotomy or thoracotomy. But the single posterior total spondylectomy can avoid large injury and severe complications caused by the anterior approach. Total spondylectomy can make spinal tumors reach the wide or marginal excision. In recent years, total spondylectomy is being widely used in the treatment of spinal primary malignant tumors, which is helpful to complete removal of the tumor and effective decrease of the local recurrence. Cervicothoracic junction changes from the lordosis and active cervical to kyphosis and relatively ifxed thoracic vertebrae. It is also a signiifcant change for vertebral morphology and spinal stress. For this reason, in the spinal reconstruction, the form and stress of the internal ifxation have a certain speciifcity. This article reviewed the progress of surgical treatment and spinal reconstruction for cervicothoracic primary malignant tumors.