关键词: 脊柱转移瘤, 椎体成形术, 姑息切除, 骨水泥

Abstract: 【Abstract】〓Objective〓To assess the surgical treatment and effectiveness for the metastases in thoracolumbar spine which have caused spinal cord compression. Methods〓From 2013 to 2015, there were 19 patients in our hospital with spinal bone metastases and the emergence of neurological dysfunction had accepted the treatments including tumor palliative resection and pedicle screw system fixation combined with bone cement filling vertebral intensive treatment to observe the postoperative quality of life (including pain, sleep, appetite) and the improvement of neurological recovery. Results All surgical procedures were succesfully done,and the spine was stable. The postoperative pain, appetite, sleep was significantly improved (compared with the preoperative P<0.01), and 63% of patients with neurological function was restored at least Frankel 1 level and above. Conclusion Tumor palliative resection combined with vertebroplasty is relatively simple, safe and can effectively improve the life quality of the patients suffered spinal metastases.

Key words: Spinal metastases, Vertebroplasty, Bone cement, Palliative resection