大段复合骨移植修复胸腰椎椎体肿瘤切除后骨缺损的临床应用

The use of a massive combined bone graft in vertebrectomy for neoplastic disease of the thoracic and lumbar spine

中文关键词:  胸椎,腰椎,脊柱肿瘤,骨移植

英文关键词:Thoracic spine,Lumbar spine,Spinal neoplasm,Bone graft

中文摘要:

  目的:评价胸腰椎椎体肿瘤切除后应用大段复合骨移植修复脊柱骨缺损的效果。方法:对36例胸腰椎椎体肿瘤患者行病椎全切或部分切除,采用大段复合骨(异体皮质骨段复合重组合异种骨)移植填充骨缺损,并结合内固定系统重建脊柱稳定性,评价其临床治疗效果。结果:33例患者获5~100个月(平均47个月)随访,植骨后无排异、感染、植骨塌陷等并发症,其中31例术后3~7个月(平均4.3个月)获骨性愈合,2例内植物松动。结论:胸腰椎椎体肿瘤椎体全切或部分切除后,采用大段复合骨移植结合内固定系统行脊椎前柱稳定性重建可达到早期脊柱稳定支撑和后期植骨融合固定的效果。

英文摘要:

  Objective:To evaluate the efficacy of a massive combined bone graft in the anterior spine after a complete or partial vertebrectomy of the thoracic or lumbar vertebral column tumors.Method:A total or partial vertebrectomy was performed at the involved tho