过口切除一个有症状的Odontoid过程动脉瘤骨囊:说明案例
Michael C Jin1, Akshay V Save1, Elad Mashiach1
1Departments of Neurosurgery, NYU Langone Health, New York, New York.
Journal of neurosurgery. Case lessons
|January 13, 2025
概括
一种新的两阶段手术方法有效地切除了C2动脉瘤骨囊 (ABC) 与脊髓压缩. 这种方法结合了横口和后口技术,成功地去除和稳定瘤.
科学领域:
- 神经外科 神经外科
- 整形瘤学 整形瘤学
- 脊柱外科手术 脊柱外科手术
背景情况:
- 动脉瘤骨囊 (ABC) 是一种罕见的,扩张性骨瘤,通常会影响长骨和脊柱.
- 前列脊柱的ABC,特别是那些涉及C2脚和形过程的ABC,存在独特的外科手术挑战.
- 这一案例突出了小儿病人的症状性C2 ABC与显著的带压缩的管理.
研究的目的:
- 描述复杂的C2动脉瘤骨囊切除的两阶段手术策略.
- 评估C2 ABCs的综合口腔和后部外科手术方法的疗效和安全性.
- 报告一个小儿科患者的成功管理与一个odontoid过程和双边C2 pedicleABC.
主要方法:
- 进行了两阶段的手术切除,首先是横口切除,然后继续后部仪器仪表.
- 通过口腔的方法可以访问odontoid过程和C2-3磁盘空间去除瘤.
- 从头到C4的后部仪器与自身肋骨移植被用于脊柱稳定和融合.
主要成果:
- 在脊髓显著减压的情况下,实现了完整的瘤切除.
- 患者经历了一个无事件的术后恢复.
- 2个月后的术后成像证实了压缩的分辨率和稳定的仪器仪表和移植位置.
结论:
- 横口方法提供了足够的暴露,用于切除大型形体过程ABCs.
- 后部稳定对于最大限度地降低术后宫不稳定的风险至关重要.
- 这种联合手术策略为管理复杂的C2 ABC提供了可行的选择.
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