En bloc resection of primary malignant bone tumors of the cervical spine

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• 作者：Tobias A. Mattei (1)
  Ehud Mendel (2)
  
• 关键词：Primary bone tumors ; en bloc resection ; Chordoma ; Chondrosarcoma ; Subaxial cervical spine ; Spinal tumors
• 刊名：Acta Neurochirurgica
• 出版年：2014
• 出版时间：November 2014
• 年：2014
• 卷：156
• 期：11
• 页码：2159-2164
• 全文大小：4,918 KB
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  7. Yamazaki T, McLoughlin GS, Patel S, Rhines LD, Fourney DR (2009) Feasibility and safety of en bloc resection for primary spine tumors: a systematic review by the Spine Oncology Study Group. Spine (Phila Pa 1976) 34:S31鈥揝38 CrossRef
  8. Yang X, Wu Z, Xiao J, Feng D, Huang Q, Zheng W, Chen H, Yuan W, Jia L (2012) Chondrosarcomas of the cervical and cervicothoracic spine: surgical management and long-term clinical outcome. J Spinal Disord Tech 25:1鈥? CrossRef
  9. Yoshihara H, Passias PG, Errico TJ (2013) Screw-related complications in the subaxial cervical spine with the use of lateral mass versus cervical pedicle screws. J Neurosurg Spine 19:614鈥?23 CrossRef
  10. Zileli M, Kilin莽er C, Ersahin Y, Cagli S (2007) Primary tumors of the cervical spine: a retrospective review of 35 surgically managed cases. Spine J 7:165鈥?73 CrossRef
  
• 作者单位：Tobias A. Mattei (1)
  Ehud Mendel (2)
  
  1. Department of Neurosurgery, Brain & Spine Institute 鈥?InvisionHealth, 400 International Dr., Buffalo, OH, 14221, USA
  2. Department of Neurological Surgery - The Ohio State University - Wexner Medical Center/The James Cancer Center, 410 W 10th Ave鈥揘1037 Doan Hall, Columbus, OH, 43210, USA
  
• ISSN：0942-0940

文摘

Background Due to the poor response of primary malignant bone tumors to adjuvant therapies, surgical resection performed in an en bloc fashion with free margins remains the best option for long-term recurrence-free survival of patients harboring such lesions. Methods In this article the authors provide a stepwise review of the technical details involved in the performance of en bloc resections of tumoral lesions in the cervical spine. Conclusions Due to the anatomical peculiarities of the cervical spine related to the presence of functional nerve roots as well as the vertebral arteries, en bloc resections in this region remains a challenging surgical procedure.