颈椎椎间孔软骨瘤:基于病例的手术治疗讨论。

IF 2.5 3区 医学 Q2 CLINICAL NEUROLOGY
Alberto Vandenbulcke, Andrea Sanjurjo, Anne-Laure Rougemont, Sana Boudabbous, Rodolfo Maduri
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引用次数: 0

摘要

颈椎椎间孔软骨瘤是一种良性病变,当出现根性和/或脊髓压迫症状时可能需要手术切除。手术的目的是在保留神经功能和脊柱稳定性的同时切除肿瘤。作者描述了一例轴下椎管软骨瘤病例,并系统回顾了有关颈椎软骨瘤患者的文献。在报告的病例中,作者采用颈后入路切除了右侧 C6-C7 软骨瘤,无需稳定脊柱。文献回顾发现,共有11名患者接受了轴下椎管软骨瘤手术。确诊时的平均年龄为 33.6 岁(10-73 岁)。大多数患者在确诊时都有神经系统症状。最常受累的椎体水平是C4-C5(54.6%,6/11)。63.6%(7/11)的患者术前存在椎孔扩大。18.2%的患者(2/11)通过前路进行手术切除,同时进行椎体切除和颈椎器械植入。27.2%(3/11)的患者选择前外侧入路,54.6%(6/11)的患者选择后方入路,只有一名患者需要同时使用前方和后方器械。由于肿瘤与颈神经根和脊髓的解剖位置关系,选择手术入路治疗椎管内软骨瘤可能具有挑战性。准确选择入路是实现肿瘤完全切除并保持颈椎稳定性的关键。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Subaxial cervical foraminal chondromas: case-based discussion on surgical management.

Cervical foraminal chondromas are benign lesions that may require surgical resection when symptomatic due to radicular and/or spinal cord compression. The aim of surgery is to achieve gross tumor removal while preserving neurological function and spine stability. The authors describe a case of subaxial foraminal chondroma with a systematic review of the literature on patients with cervical chondromas. In the reported case, the authors used a retrojugular approach to remove a C6-C7 right chondroma without the need for spinal stabilization. Literature review identified a total of 11 patients who underwent surgery for subaxial foraminal chondroma. The mean age at diagnosis is 33.6 years (range: 10-73). Most patients report neurological symptoms at the time of diagnosis. The most frequently involved vertebral level is C4-C5 (54.6%, 6/11). Preoperative foraminal enlargement is present in 63.6% (7/11) of patients. Surgical resection is performed via an anterior approach in 18.2% (2/11) of patients, with vertebral body resection and concomitant cervical instrumentation. The anterolateral approach is selected in 27.2% (3/11) of patients, and the posterior approach in 54.6% (6/11) of patients, with only one patient requiring both anterior and posterior instrumentation. The choice of surgical access for subaxial foraminal chondroma can be challenging due to the anatomical location of the tumor in relation to the cervical nerve roots and spinal cord. Accurate approach selection is key to achieving complete tumor removal while preserving cervical spine stability.

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来源期刊
Neurosurgical Review
Neurosurgical Review 医学-临床神经学
CiteScore
5.60
自引率
7.10%
发文量
191
审稿时长
6-12 weeks
期刊介绍: The goal of Neurosurgical Review is to provide a forum for comprehensive reviews on current issues in neurosurgery. Each issue contains up to three reviews, reflecting all important aspects of one topic (a disease or a surgical approach). Comments by a panel of experts within the same issue complete the topic. By providing comprehensive coverage of one topic per issue, Neurosurgical Review combines the topicality of professional journals with the indepth treatment of a monograph. Original papers of high quality are also welcome.
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