山东大学学报 (医学版) ›› 2019, Vol. 57 ›› Issue (5): 7-12.doi: 10.6040/j.issn.1671-7554.0.2019.195
• • 上一篇
李建民,李振峰
LI Jianmin, LI Zhenfeng
摘要： 全脊椎整块切除术(TES)的出现和应用,是脊柱肿瘤外科治疗的一个发展方向,实现了肿瘤彻底切除的边界,是脊柱肿瘤外科发展的一个里程碑。TES技术经过临床大规模应用后,在技术操作、边界研究、截骨平面、脊柱部位节段及并发症防治方面都取得了改进和进步,适应证也得到了调整,但是仍有许多尚未解决的问题和挑战,就指征、活检、术式、评分和重建等方面进行总结和展望。
中图分类号:
| [1] Unni K. Dahlins bone tumors-general aspects and data on 11087 cases [M]. Philadelphia: Lippincott-Raven, 1996: 1-9. [2] Constans JP, de Divitiis E, Donzelli R,et al. Spinal metastases with neruological manifestations. Review of 600 cases[J]. J Neruosurg, 1983, 59(1): 111-118. [3] Brihaye J, Ectors P, Lemort M, et al. The management of spinal epidural metastases[J]. Adv Tech Stand Neurosurg, 1988, 16: 121-176. [4] 李建民, 李振峰. 中国脊柱肿瘤外科治疗存在问题及面临的挑战[J]. 中华骨科杂志, 2018, 38(10): 577-579. [5] Lievre JA, Darcy M, Pradat P, et al. Giant cell tumor of the lumbar spine: total spondylectomy in 2 states[J]. Rev Rhum Mal Osteoartic, 1968, 35: 125-130. [6] Stener B. Total spondylectomy in chondrosarcoma arising from the seventh thoracic vertebra[J]. J Bone Joint Surg Br, 1971, 53(2): 288-295. [7] Roy-Camille R, Saillant G, Bisserie M, et al. Total excision of thoracic vertebrae(anthors transl)[J]. Rev Chir Orhop Reparatrice Appar Mot, 1981, 67(3): 42l-430. [8] Tomita K, Kawahara N, Baba H, et al. Total en bloc spondylectomy: a new surgical technique for primary malignant vertebral tumors[J]. Spine, 1997, 22(3): 324-333. [9] Bohinski RJ, Rhines LD. Principles and techniques of en bloc vertebrectomy for bone tumors of the thoracolumbar spine: an overview[J]. Neurosurg Focus, 2003, 15(5): 7. [10] Chi JH, Sciubba DM, Rhines LD, et al. Surgery for primary vertebral tumors: en bloc versus intralesional resection[J]. Neurosurg Clin N Am, 2008, 9(1): 111-117. [11] Enneking WF. A system of staging musculoskeletal neoplasms[J]. Clin Orthop Relat Res, 1986(204): 9-24. [12] Yoshioka K, Murakami H, Demura S, et al. Clinical outcome of spinal reconstruction after total en bloc spondylectomy at 3 or more levels[J]. Spine(Phila Pa 1976), 2013, 38(24): 1511-1516. [13] Luzzati AD, Shah SP, Gagliano F, et al. Four and five level en bloc spondylectomy for malignant spinal tumors[J]. Spine(Phila Pa 1976), 2014, 39(2): 129-139. [14] Luzzati AD, Shah S, Gagliano F, et al. Multilevel en bloc spondylectomy for tumors of the thoracic and lumbar spine is challenging bur rewarding[J].Clin Orthop Relat Res, 2015, 473(3): 858-867. [15] Boriani S, Weinstein JN, Biagini R. Primary bone tumors of the spine. Terminology and surgical staging[J]. Spine(Phila Pa 1976), 1997, 22(9): 1036-1044. [16] Hart RA, Boriani S, Biagini R, et al. A system for surgical staging and management of spine tumors. A clinical outcome study of giant cell tumors of the spine[J]. Spine(Phila Pa 1976), 1997, 22(15): 1773-1782. [17] Robertson RC, Ball RP. Destructive spine lesions diagnosis by needle biopsy[J]. J Bone Joint Surg, 1935, 17: 749-775. [18] 刘晓光, 刘忠军, 党耕汀, 等. CT引导下穿刺活检在寰枢椎病变诊断中的应用[J]. 中华骨科杂志, 2000, 20(4): 226-230. [19] Gorospe L, Ramos-Sánchez A, Caviedes-Sánchez E.Tumor needle tract seeding following percutaneous vertebroplasty[J]. World Neurosurg, 2018, 116: 188-189. doi: 10.1016/j.wneu. [20] 中华医学会骨科学分会骨肿瘤学组. 骨转移瘤外科治疗专家共识[J]. 中华骨科杂志, 2009, 29(12): 1178-1184. [21] Tomita K, Kawahara N, Baba H, et al. Total en bloc spondylectomy for solitary spinal metastases[J]. Int Orthop, 1994, 18(5): 291-298. [22] Tomita K, Kawahara N, Baba H, et al. Total en bloc spondylectomy. A new surgical technique for primary malignant vertebral tumors[J]. Spine(Phila Pa 1976), 1997, 22(3): 324-333. [23] Fourney DR, Abi-Said D, Rhines LD, et al. Simultaneous anterior-posterior approach to the thoracic and lumbar spine for the radical resection of tumors followed by reconstruction and stabilization[J]. J Neurosurg, 2001, 94(2 Suppl): 232-244. [24] Krepler P, Windhager R, Bretschneider W, et al. Total vertebrectomy for primary malignant tumours of the spine[J]. J Bone Joint Surg Br, 2002, 84(5): 712-715. [25] 李建民, 阎峻, 杨志平, 等. 胸腰椎肿瘤全脊椎整块切除初步应用及手术方法改进[J]. 中国矫形外科杂志, 2009, 17(1): 14-16. LI Jianmin, YAN Jun, YANG Zhiping, et al. Total en bloc spondylectomy for tumor of the thoracolumbar spine[J]. Orthopedic Journal of China, 2009, 17(1): 14-16. [26] 杨强, 李建民, 杨志平, 等. 胸腰椎肿瘤全脊椎切除术后的稳定性重建及其并发症[J].中华骨科杂志, 2011, 31(6): 658-663. YANG Qiang, LI Jianmin, YANG Zhiping, et al. Stability reconstruction and related complications after total spondylectomy for thoracolumbar tumors[J].Chinese Journal of Orthopaedics, 2011, 31(6): 658-663. [27] 杨强, 李建民, 杨志平, 等.全脊椎整块切除术治疗胸腰椎肿瘤及稳定性重建结果[J]. 中华肿瘤杂志, 2013, 35(3): 225-230. YANG Qiang, LI Jianmin, YANG Zhiping, et al. Treatment of thoracolumbar tumors with total en bloc spondylectomy and the results of spinal stability reconstruction[J]. Chinese Journal of Oncology, 2013, 35(3): 225-230. [28] Liljenqvist U, Lerner T, Halm H, et al. En bloc spondylectomy in malignant tumors of the spine[J]. Eur Spine J, 2008, 17(4): 600-609. [29] Boriani S, Bandiera S, Donthineni R, et al. Morbidity of en bloc resections in the spine[J]. Eur Spine J, 2010, 19(2): 231-241. [30] Hu Y, Xia Q, Ji J, et al. One-stage combined posterior and anterior approaches for excising thoracolumbar and lumbar tumors: surgical and oncological outcomes[J]. Spine(Phila Pa 1976), 2010, 35(5): 590-595. [31] Jandial R, Kelly B, Chen MY. Posterior-only approach for lumbar vertebral column resection and expandable cage reconstruction for spinal metastases[J]. J Neurosurg Spine, 2013, 19(1): 27-33. [32] Disch AC, Schaser KD, Melcher I, et al. Oncosurgical results of multilevel thoracolumbar en-bloc spondylectomy and reconstruction with a carbon composite vertebral body replacement system[J]. Spine(Phila Pa 1976), 2011, 36(10): 647- 655. [33] Luzzati AD, Shah S, Gagliano F, et al. Multilevel en bloc spondylectomy for tumors of the thoracic and lumbar spine is challenging but rewarding[J]. Clin Orthop Relat Res, 2015, 473(3): 858-867. [34] Hsieh PC, Li KW, Sciubba DM, et al. Posterior-only approach for total en bloc spondylectomy for malignant primary spinal neoplasms: anatomic considerations and operative nuances[J]. Neurosurgery, 2009, 65(6 Suppl): 173-181. [35] Sciubba DM, De la Garza Ramos R, Goodwin CR, et al. Total en bloc spondylectomy for locally aggressive and primary malignant tumors of the lumbar spine[J]. Eur Spine J, 2016, 25(12): 4080-4087. [36] Shimizu T, Murakami H, Demura S, et al. Total en bloc spondylectomy for primary tumors of the lumbar spine[J]. Medicine(Baltimore), 2018, 97(37): 12366. [37] Huang W, Wei H, Cai W, et al. Total en bloc spondylectomy for solitary metastatic tumors of the fourth lumbar spine in a posterior-only approach[J]. World Neurosurg, 2018, 120: 8-16. doi: 10.1016/j.wneu. [38] Huang WD,Wei HF,Yan WJ, et al. Total en bloc spondylectomy for spinal tumors of the fourth lumbar spine via a posterior approach: our clinical experience[J]. Chin J Orthop, 2018, 38(10):580-587. [39] Huang L, Chen K, Ye JC, et al. Modified total en bloc spondylectomy for thoracolumbar spinal tumors via a single posterior approach[J]. Eur Spine J, 2013, 22(3): 556-564. [40] Shah AA, Paulino Pereira NR, Pedlow FX, et al. Modified en bloc spondylectomy for tumors of the thoracic and lumbar spine: surgical technique and outcomes[J]. J Bone Joint Surg Am, 2017, 99(17): 1476-1484. [41] Xiong W, Xu Y, Fang Z, et al. Total en bloc spondylectomy for lumbar spinal tumors by paraspinal approach[J]. World Neurosurg, 2018, 120: 28-35. doi: 10.1016/j.wneu. [42] Disch AC, Schaser KD, Melcher I, et al. Oncosurgical results of multilevel thoracolumbar en-bloc spondylectomy and reconstruction with a carbon composite vertebral body replacement system[J]. Spine(Phila Pa 1976), 2011, 36(10): 647-655. [43] Kawahara N, Tomita K, Murakami H, et al. Total en bloc spondylectomy for spinal tumors: surgical techniques and related basic background[J]. Orthop Clin N Am, 2009, 40(1): 47-63. [44] Park JH, Hyun SJ, Kim KJ, et al. Total en bloc thoracic and lumbar spondylectomy for non-small cell lung cancer with favorable prognostic indicators: is it merely indicated for solitary spinal metastasis?[J]. J Korean Neurosurg Soc, 2014, 56(5): 431-435. [45] Sangjoon P, Kyung H, Woo JR, et al. Treatment outcome of radiation therapy and current targeted molecular treatments in spinal metastasis from renal cell carcinoma[J]. Radiation Oncology Journal, 2016, 34(2): 128-134. [46] Goodwin CR, Abu-Bonsrah N, Rhines LD, et al. Molecular markers and targeted therapeutics in metastatic tumors of the spine: changing the treatment paradigms[J]. Spine(Phila Pa 1976), 2016, 41(Suppl 20): 218-223. [47] Tomita K, Kawahara N, Kobayashi T, et al. Surgical strategy for spinal metastases[J]. Spine(Phila Pa 1976), 2001, 26(3): 298-306. [48] Tokuhashi Y, Matsuzaki H, Oda H, et al. A revised scoring sys tem for preoperative evaluation of metastatic spine tumor prosthesis[J]. Spine(Phila Pa 1976), 2005, 30(19): 2186-2191. [49] Bilsky MH, Laufer I, Fourney DR, et al. Reliability analysis of the epidural spinal cord compression scale[J]. J Neurosurg Spine, 2010, 13(3): 324-328. [50] Fisher CG, DiPaola CP, Ryken TC, et al. A novel classification system for spinal instability in neoplastic disease: an evidence- based approach and expert consensus from the Spine Oncology Study Group[J]. Spine, 2010, 35(22): 1221-1229. [51] Crnalic S, Löfvenberg R, Bergh A, et al. Predicting survival for surgery of metastatic spinal cord compression in prostate cancer: a new score[J]. Spine(Phila Pa 1976), 2012, 37(26): 2168-2176. [52] Kumar N, Tan JJ, Zaw AS, et al. Evaluation of scoring systems and prognostic factors in patients with spinal metastases from nasopharyngeal carcinoma[J]. Spine J, 2014, 14(12): 2946- 2953. [53] Matsumiya H, Todo Y, Okamoto K, et al. A prediction model of survival for patients with bone metastasis from uterine cervical cancer[J]. J Gynecol Oncol, 2016, 27(6): 55. [54] Xiao JR, Huang WD, Yang XH, et al. En bloc resection of primary malignant bone tumor in the cervical spine based on 3-dimensional printing technology[J]. Orthop Surg, 2016, 8(2): 171-178. [55] Wei R, Guo W, Ji T, et al. One- step reconstruction with a 3D-printed, custom-made prosthesis after total en bloc sacrectomy: a technical note[J]. Eur Spine J, 2017, 26(7): 1902-1909. |
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