Abstract
The experience of surgical treatment of 19 patients with tumors of the upper-thoracic spine is analyzed. All the patients had undergone decompressive-stabilizing surgical procedures. Surgical approach, form of decompression and fixation were determined depending on the signs of compression of the spinal cord and neural structures, etiology and degree of the vertebral body destruction. Good and satisfactory short- and long-term results were achieved in all the patients. The case of surgical treatment of female patient with giant neurofibromas of Th2 vertebrae is also reported.
Highlights
Form of decompression and fixation were determined depending on the signs of compression of the spinal cord and neural structures, etiology and degree of the vertebral body destruction
Good and satisfactory short- and long-term results were achieved in all the patients
Ïðîôåññîð, çàâåäóþùèé îòäåëåíèåì òðàâìàòîëîãèè è îðòîïåäèè (õèðóðãèè ïîçâîíî÷íèêà) ÐÍÖÕ èì
Summary
 ñòàòüå ïðåäñòàâëåí îïûò õèðóðãè÷åñêîãî ëå÷åíèÿ 19 ïàöèåíòîâ ñ îïóõîëÿìè âåðõíåãðóäíîãî îòäåëà ïîçâîíî÷íèêà, êîòîðûì ïðîèçâîäèëèñü äåêîìïðåññèâíî-ñòàáèëèçèðóþùèå îïåðàöèè. Îïåðàöèîííûé äîñòóï, âèä äåêîìïðåññèè è ôèêñàöèè îïðåäåëÿëèñü â çàâèñèìîñòè îò íàëè÷èÿ êîìïðåññèè ñïèííîãî ìîçãà è íåâðàëüíûõ ñòðóêòóð, ýòèîëîãèè è ñòåïåíè ïîðàæåíèÿ òåëà ïîçâîíêà. Êëþ÷åâûå ñëîâà: îïóõîëè ïîçâîíî÷íèêà, äåêîìïðåññèâíî-ñòàáèëèçèðóþùèå îïåðàöèè, ñèíäðîì ñäàâëåíèÿ ñïèííîãî ìîçãà, ïåðåäíèé äèñòðàêöèîííûé òåëîçàìåùàþùèé èìïëàíò.
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