PDF(Pubmed)
Abstract：
UNASSIGNED: Laminotomy and laminar replantation have emerged as novel treatment modalities for intraspinal tumors, aiming to minimize postoperative complications and retain spinal mobility. However, existing research predominantly emphasizes their application in the thoracolumbar spine. The unique anatomy of the atlantoaxial segments necessitates surgical techniques that differ from those used in other spinal regions, and the clinical effect of such procedure remains unknown.
UNASSIGNED: A 61-year-old male patient with intradural schwannoma at the atlantoaxial level was operated on. The patient underwent posterior laminectomy, as well as a combined replantation of the posterior arch of the atlas and bilateral axial laminae. Postoperatively, the patient experienced significant neurological improvement, with no deformities or instability on the radiological assessments during the follow-up.
UNASSIGNED: Laminotomy with combined replantation of the posterior arch of the atlas and bilateral axial lamina emerges as an effective approach for managing intraspinal tumors at the atlantoaxial level. This technique not only offers ample operating space but also restores the stability of the spinal canal. Moreover, it preserves the mobility of the atlantoaxial segment, minimizes impact on adjacent segments, and mitigates the formation of postoperative fibrosis.
UNASSIGNED: A 61-year-old male patient with intradural schwannoma at the atlantoaxial level was operated on. The patient underwent posterior laminectomy, as well as a combined replantation of the posterior arch of the atlas and bilateral axial laminae. Postoperatively, the patient experienced significant neurological improvement, with no deformities or instability on the radiological assessments during the follow-up.
UNASSIGNED: Laminotomy with combined replantation of the posterior arch of the atlas and bilateral axial lamina emerges as an effective approach for managing intraspinal tumors at the atlantoaxial level. This technique not only offers ample operating space but also restores the stability of the spinal canal. Moreover, it preserves the mobility of the atlantoaxial segment, minimizes impact on adjacent segments, and mitigates the formation of postoperative fibrosis.
摘要：
■椎板切开术和椎板再植已成为椎管内肿瘤的新治疗方式，旨在减少术后并发症并保持脊柱活动。然而,现有研究主要强调它们在胸腰椎中的应用。寰枢椎段的独特解剖结构需要与其他脊柱区域不同的手术技术。这种手术的临床效果仍然未知。
■对一名61岁的男性患者进行了手术，该患者患有寰枢椎水平的硬膜内神经鞘瘤。患者接受了后路椎板切除术,以及寰椎后弓和双侧轴层的联合再植。术后,患者经历了显著的神经系统改善，随访期间放射学评估无畸形或不稳定性。
■椎板切开术联合寰椎后弓和双侧中轴椎板的再植是治疗寰枢椎水平椎管内肿瘤的有效方法。该技术不仅提供了充足的操作空间，而且恢复了椎管的稳定性。此外，它保留了寰枢椎段的活动性，将对相邻段的影响降至最低，减轻术后纤维化的形成。
■对一名61岁的男性患者进行了手术，该患者患有寰枢椎水平的硬膜内神经鞘瘤。患者接受了后路椎板切除术,以及寰椎后弓和双侧轴层的联合再植。术后,患者经历了显著的神经系统改善，随访期间放射学评估无畸形或不稳定性。
■椎板切开术联合寰椎后弓和双侧中轴椎板的再植是治疗寰枢椎水平椎管内肿瘤的有效方法。该技术不仅提供了充足的操作空间，而且恢复了椎管的稳定性。此外，它保留了寰枢椎段的活动性，将对相邻段的影响降至最低，减轻术后纤维化的形成。
