自制“钢筋水泥”人工椎体修复椎体肿瘤切除后骨缺损  

Artificial Vertebral Bodies Made with Imme-diate Modeling of Bone Cement for the Repair ofDefect After Bone Tumor Resection

作　　者：马忠泰[1] 方志伟[1] 栗怀广[1] 

机构地区：[1]北京医科大学第一医院骨科

出　　处：《中华骨科杂志》1995年第1期10-12,T003,共4页Chinese Journal of Orthopaedics

摘　　要：１９８９～１９９３年作者对６例椎体肿瘤施行了肿瘤切除，“钢筋水泥”人工椎体修复骨缺损。肿瘤类别：转移瘤３例，原发瘤３例。肿瘤部位：颈椎３例，胸椎２例，腰椎１例。术前全瘫１例，不全瘫２例。术后截瘫完全恢复１例，大部分恢复１例，部分恢复１例。“钢筋水泥”人工椎体的制作是取３根斯氏针用钢丝缠绕捆绑，在其外用骨水泥包裹、塑形，作成所需椎体大小。全部人工椎体均是在手术台上根据骨缺损范围临时制作，故大小合适，制作快速简便，置入牢固稳定。AbstractFrom 1989 to 1993,6 patients with tumors ofthe vertebral body were treated with resection.The defects following surgery were filled with ar-tificial vertebral bodies made by immediate model-ing of bone cement.There were 3 primary bonetumors and 3 metastatic lesions which involved thecervical vertebrae in 3 cases,the thoracic in 2 andthe lumbar in 1. Complete paraplegia occurred in 1case and incomplete paraplegia in 2 cases. The ar-tificial vertebral body was made of bone cementwith three Steinmann’s pins in the center. The de-vice was made during surgery on the operationtable. The two ends of the protruded pins were in-serted into the adjacent upper and lower normalvertebrae. Fully recovery of the paraplegia wasseen in 3 cases following the operation. Nearlycomplete and partial recovery of the paraplegiawas seen in 1 case respectively.This device of ar-tificial vertebral body is easy to prepare,well fit inthe defect area and stable.

关 键 词：钢筋水泥 人工椎体 骨缺损 骨肿瘤 修复 

分 类 号：R738.105[医药卫生—肿瘤] R687.3[医药卫生—临床医学]