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Published byKory Copeland Modified over 8 years ago
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Figure 1. A surgical protocol of margin-free spondylectomy 1. Anterior procedure –Approach: transpleural or retroperitoneal or both –Tumor barrier: pleura or psoas muscle –Ligation and cut of segmental vesseles –Coverage of the lesion by Gore-Tex patch 2. Posterior procedure –Temporally instrumentation –Decompression of spinal cord through the tumor- free site –360-degrees dissection of the tumor vertebrae –En-bloc extirpation of the tumor vertebrae through the gap of laminotomy by rotating them around the dural tube –Completion of instrumentation and bone graft –Repair of soft tissue defects
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Figure 2D. A 360-degree dissection of the tumor vertebrae Dural tube
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Figure 4. Surgical classification 3) of thirteen cases ① ① ② ① ② ⑥
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Figure 5. Results A. Neurologic status evaluated by modified Frankel grade 4) A B C D1 D2 D3 E Before surgeryFollow-up
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Figure 5. Result B. Pain status evaluated by Denis pain scale 5) P1 P2 P3 P4 P5 Before surgeryFollow-up
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