胸腰椎転移性脊椎腫瘍に対する超音波メスを用いた後方椎体内病巣郭清固定術の試み
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概要
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Various surgical techniques for spinal metastases have been described. Although curative surgery such as total en bloc spondylectomy for spinal metastases has been advocated, such an aggressive approach is not always justified in patients predicted to have short survival. For patients with limited life expectancy, palliative surgery such as posterior decompression with stabilization is often selected. Recently, many authors have reported an excision technique employing an ultrasonic osteotome. We have performed posterolateral circumspinal decompression with an ultrasonic osteotome, and anterior vertebral reconstruction using cement augmentation and posterior fusion for four patients with thoracolumbar spinal metastases. Pain relief and improvement of paresis were obtained in all cases. This technique is relatively safe and less invasive for short-term palliation.
- 中国・四国整形外科学会の論文
中国・四国整形外科学会 | 論文
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