12 cases of thoracic tumor on the posterior full spine resection and reconstruction of spinal stability（12例胸肿瘤后全脊椎切除和重建脊柱的稳定性）.docVIP

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12 cases of thoracic tumor on the posterior full spine resection and reconstruction of spinal stability（12例胸肿瘤后全脊椎切除和重建脊柱的稳定性）.doc

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12 cases of thoracic tumor on the posterior full spine resection and reconstruction of spinal stability（12例胸肿瘤后全脊椎切除和重建脊柱的稳定性）

12 cases of thoracic tumor on the posterior full spine resection and reconstruction of spinal stability [Keywords:] thoracic spine tumors, spine / surgery, fixed 0 Introduction Thoracic tumors often lead to spinal cord compression symptoms, high morbidity and mortality. Surgical resection of the tumor tissue, the lifting of oppression, alleviate neurological symptoms is to improve the quality of life and the primary means of survival. Thoracic special anatomical location, the front of sternum and mediastinal blocked behind the shoulder blade to block, is deep, reveal extremely difficult [1]. hospital 200 506/2007 05 using the midline approach spine resection for thoracic tumors in 12 cases to obtain satisfactory results. 1 clinical data This group of patients 12 (9 male and female 3 cases, age 38 to 66 (average 56-year-old lesion: T3 1 case 1 cases of T4, T5, 3 cases of T7 in 2 cases, the T8 5 cases of tumor types: myeloma cases, giant cell tumor of three cases, two cases of hemangioma, 6 cases of metastatic tumors. 8 cases of chest and back pain as the main clinical manifestations, four cases of lower extremity weakness, gait damage the main complaint. pathological segment hypoesthesia 11 cases, the pathological positive of seven cases, MRI of vertebral compression, kyphosis, and dural sac compression. patients were treated with general anesthesia intubation in the prone position, posterior midline incision, exposure of the upper and lower vertebra 2 lamina of the transverse process of the removal of diseased vertebrae revealed rib and 3 to 4 cm in from Sternocostal joint cut off, the removal of the rib head, neck. pleural since the blunt dissection of both sides of the vertebral body, clean-up the foraminal will intercostal artery into the side to remove the spinous process, lamina and articular process were placed in two pedicle screw up and down the vertebra, and the CD HORIZON M8 or SINA or RSS connecting rod according to the spinal physiologica