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"Хирургия позвоночника"

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Особенности хирургии опухолей шейного отдела позвоночника в области позвоночной артерии: обзор литературы

https://doi.org/10.14531/ss2020.3.91-99

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Аннотация

Цель исследования. Анализ литературы, посвященной опухолям шейного отдела позвоночника, располагающимся в области позвоночной артерии.

Материал и методы. Для обзора литературы отобраны 65 публикаций, содержащих данные о хирургическом лечении 101 пациента с опухолями шейного отдела позвоночника, локализующимися в области V1–V3 сегментов позвоночной артерии.

Результаты. Анализ публикаций выполнен по следующим критериям: демографические данные, жалобы, гистологический тип опухоли, вовлечение позвоночной артерии, проведение окклюзионного теста, окончательная эмболизация или перевязка артерии в ходе оперативного вмешательства, послеоперационные осложнения. Публикационная группа состоит из 66 мужчин и 35 женщин, средний возраст которых на момент операции – 38,7 года. Острое развитие неврологической симптоматики на догоспитальном этапе, связанное со сдавлением позвоночной артерии, отмечено в двух случаях. Наиболее часто поражались C2–C4 позвонки, злокачественный процесс подтвержден в 70,3 % случаев. В 27 случаях пациентам проводили окклюзионный тест вовлеченной позвоночной артерии. На предоперационном этапе окончательную эмболизацию артерии выполнили  9 пациентам, в ходе основной операции артерию перевязали и удалили вместе с опухолью – у 25, повредили – у 7. Неврологические нарушения, связанные с остановкой кровотока по позвоночной артерии, отмечены в двух случаях. В ряде случаев пациентам выполнено наложение сосудистого анастомоза с сохранением кровотока на контрольных исследованиях.

Заключение. Учет полученных данных и тщательное предоперационное планирование позволяют улучшить лечение данной группы пациентов, повысить выживаемость, снизить риски возможных неврологических нарушений и рецидива опухоли.

Об авторах

Д. А. Глухов
Санкт-Петербургский научно-исследовательский институт фтизиопульмонологии
Россия

Дмитрий Александрович Глухов, аспирант, врач травматолог-ортопед

194064, Санкт-Петербург, ул. Политехническая, 32

 



В. И. Зорин
Санкт-Петербургский научно-исследовательский институт фтизиопульмонологии; Северо-Западный государственный медицинский университет им. И.И. Мечникова
Россия

Вячеслав Иванович Зорин, канд. мед. наук, врач травматолог-ортопед клиники детской хирургии и ортопедии; доцент кафедры детской хирургии

194064, Санкт-Петербург, ул. Политехническая, 32;

191015, Санкт-Петербург, ул. Кирочная, 41



А. Ю. Мушкин
Санкт-Петербургский научно-исследовательский институт фтизиопульмонологии
Россия

Александр Юрьевич Мушкин, д-р мед. наук, проф., главный научный сотрудник, руководитель клиники детской хирургии и ортопедии, руководитель научно-клинического центра патологии позвоночника

194064, Санкт-Петербург, ул. Политехническая, 32



Список литературы

1. Bergman RA, Afifi AK, Miyauchi R. Circle of Willis. Illustrated Encyclopedia of Human Anatomic Variation: Opus II: Cardiovascular System: Arteries: Head, Neck, and Thorax. [Electronic resource]. URL: https://www.anatomyatlases.org/AnatomicVariants/Cardiovascular/Text/Arteries/CircleofWillis.shtml (last accessed data: 26.05.2020).

2. Altaf F, Movlik H, Brew S, Rezajooi K, Casey A. Osteochondroma of C1 causing vertebral artery occlusion. Br J Neurosurg. 2013;27:130–131. DOI: 10.3109/02688697.2012.707701.

3. Fadili S, Clarençon F, Bonneville F, Savatovsky J, Deltour S, Dormont D. Occlusion of vertebral artery due to transverse canal osteochondroma. Clin Neuroradiol. 2014;24:395–397. DOI: 10.1007/s00062-013-0259-1.

4. Zoarski GH, Seth R. Safety of unilateral endovascular occlusion of the cervical segment of the vertebral artery without antecedent balloon test occlusion. AJNR Am J Neuroradiol. 2014;35:856–861. DOI: 10.3174/ajnr.A3885.

5. Menezes AH, Ahmed R. Primary atlantoaxial bone tumors in children: management strategies and long-term follow-up. J Neurosurg Pediatr. 2014;13:260–272. DOI: 10.3171/2013.11.PEDS13245.

6. Sen C, Eisenberg M, Casden AM, Sundaresan N, Catalano PJ. Management of the vertebral artery in excision of extradural tumors of the cervical spine. Neurosurgery. 1995;36:106–116. DOI: 10.1227/00006123-199501000-00014.

7. Zambelli PY, Lechevallier J, Bracq H, Carlioz H. Osteoid osteoma or osteoblastoma of the cervical spine in relation to the vertebral artery. J Pediatr Orthop. 1994;14:788–792. DOI: 10.1097/01241398-199414060-00019.

8. Barrenechea IJ, Perin NI, Triana A, Lesser J, Costantino P, Sen C. Surgical management of chordomas of the cervical spine. J Neurosurg Spine. 2007;6:398–406. DOI: 10.3171/spi.2007.6.5.398.

9. Cloyd JM, Chou D, Deviren V, Ames CP. En bloc resection of primary tumors of the cervical spine: report of two cases and systematic review of the literature. Spine J. 2009;9:928–935. DOI: 10.1016/j.spinee.2009.07.005.

10. Ahmed AK, Pennington Z, Molina CA, Xia Y, Goodwin CR, Sciubba DM. Multidisciplinary surgical planning for en bloc resection of malignant primary cervical spine tumors involving 3D-printed models and neoadjuvant therapies: report of 2 cases. J Neurosurg Spine. 2019;1–8. DOI: 10.3171/2018.9.SPINE18607. Online ahead of print.

11. Ortega-Porcayo LA, Cabrera-Aldana EE, Arriada-Mendicoa N, Gómez-Amador JL, Granados-García M, Barges-Coll J. Operative technique for en bloc resection of upper cervical chordomas: extended transoral transmandibular approach and multilevel reconstruction. Asian Spine J. 2014;8:820–826. DOI: 10.4184/asj.2014.8.6.820.

12. Chou D, Acosta F Jr, Cloyd JM, Ames CP. Parasagittal osteotomy for en bloc resection of multilevel cervical chordomas. J Neurosurg Spine. 2009;10:397–403. DOI: 10.3171/2009.2.SPINE08472.

13. Hsieh PC, Gallia GL, Sciubba DM, Bydon A, Marco RA, Rhines L, Wolinsky JP, Gokaslan ZL. En bloc excisions of chordomas in the cervical spine: review of five consecutive cases with more than 4-year follow-up. Spine. 2011;36:E1581–E1587. DOI: 10.1097/BRS.0b013e318211839c.

14. Wang X, Eichbaum E, Jian F, Chou D. Two-stage en bloc resection of multilevel cervical chordomas with vertebral artery preservation: operative technique. Oper Neurosurg (Hagerstown). 2018;14:538–545. DOI: 10.1093/ons/opx178.

15. Xiao JR, Huang WD, Yang XH, Yan WJ, Song DW, Wei HF, Liu TL, Wu ZP, Yang C. En bloc resection of primary malignant bone tumor in the cervical spine based on 3-dimensional printing technology. Orthop Surg. 2016;8:171–178. DOI: 10.1111/os.12234.

16. Fujita T, Kawahara N, Matsumoto T, Tomita K. Chordoma in the cervical spine managed with en bloc excision. Spine. 1999;24:1848–1851. DOI: 10.1097/00007632-199909010-00016.

17. Khalil IM, Alaraj AM, Otrock ZK, Chamoun RB, Sabbagh AS, Skaf GS. Aneurysmal bone cyst of the cervical spine in a child: case report and review of the surgical role. Surg Neurol. 2006;65:298–303. DOI: 10.1016/j.surneu.2005.06.032.

18. Rodrigues LM, Nicolau RJ, Puertas EB, Milani C. Vertebrectomy of giant cell tumor with vertebral artery embolization: case report. J Pediatr Orthop B. 2009;18:99–102. DOI: 10.1097/BPB.0b013e328329dc56.

19. Bydon M, De la Garza-Ramos R, Suk I, McCarthy E, Yamada Y, Wolinsky JP, Gokaslan ZL. Single-staged multilevel spondylectomy for en bloc resection of an epithelioid sarcoma with intradural extension in the cervical spine: technical case report. Oper Neurosurg (Hagerstown). 2015;11:E585–E593. DOI: 10.1227/NEU.0000000000000961.

20. Feng G, Huang K, Li L, Gong Q, Liu H, Song Y. Treatment of osteoblastoma at C3-4 in a child: a case report. BMC Musculoskelet Disord. 2014;15:313. DOI: 10.1186/1471-2474-15-313.

21. Delfini R, Marruzzo D, Tarantino R, Marotta N, Landi A. Multilevel oblique corpectomies as an effective surgical option to treat cervical chordoma in a young girl. World J Clin Cases. 2014;2:57–61. DOI: 10.12998/wjcc.v2.i3.57.

22. Fahim DK, Johnson KK, Whitehead WE, Curry DJ, Luerssen TG, Jea A. Periosteal chondroma of the pediatric cervical spine. J Neurosurg Pediatr. 2009;3:151–156. DOI: 10.3171/2008.11.PEDS08231.

23. Hu H, Wu J, Ren L, Sun X, Li F, Ye X. Destructive osteoblastoma with secondary aneurysmal bone cyst of cervical vertebra in an 11-year-old boy: case report. Int J Clin Exp Med. 2014;7:290–295.

24. Koc K, Ilik MK. Surgical management of an osteoblastoma involving the entire C2 vertebra and a review of literature. Eur Spine J. 2016;25(Suppl 1):220–223. DOI: 10.1007/s00586-016-4445-0.

25. Stulik J, Barna M, Vyskocil T, Nesnidal P, Kryl J, Klezl Z. Total en bloc spondylectomy of C3: a new surgical technique and literature review. Acta Chir Orthop Traumatol Cech. 2015;82:261–267.

26. Haimoto S, Nishimura Y, Hara M, Yamamoto Y, Fukuoka T, Fukuyama R, Wakabayashi T, Ginsberg HJ. Surgical treatment of rotational vertebral artery syndrome induced by spinal tumor: a case report and literature review. NMC Case Rep J. 2017;4:101–105. DOI: 10.2176/nmccrj.cr.2016-0152.

27. Zhang Y, Ilaslan H, Hussain MS, Bain M, Bauer TW. Solitary C1 spinal osteochondroma causing vertebral artery compression and acute cerebellar infarct. Skeletal Radiol. 2015;44:299–302. DOI: 10.1007/s00256-014-1974-7.

28. Suchomel P, Buchvald P, Barsa P, Froehlich R, Choutka O, Krejzar Z, Sourkova P, Endrych L, Dzan L. Single-stage total C-2 intralesional spondylectomy for chordoma with three-column reconstruction. Technical note. J Neurosurg Spine. 2007;6:611–618. DOI: 10.3171/spi.2007.6.6.17.

29. Gille O, Soderlund C, Berge J, Sacko O, Vital JM. Triple total cervical vertebrectomy for a giant cell tumor: case report. Spine. 2005;30:E272–E275. DOI: 10.1097/01.brs.0000162931.80082.04.

30. Guppy KH, Chakrabarti I, Isaacs RS, Jun JH. En bloc resection of a multilevel high-cervical chordoma involving C-2: new operative modalities: technical note. J Neurosurg Spine. 2013;19:232–242. DOI: 10.3171/2013.5.SPINE121039.

31. Bailey CS, Fisher CG, Boyd MC, Dvorak MF. En bloc marginal excision of a multilevel cervical chordoma. Case report. J Neurosurg Spine. 2006;4:409–414. DOI: 10.3171/spi.2006.4.5.409.

32. Vassal F, Dumas B, Nuti C. Margin-free, en bloc resection of a multilevel cervical chordoma with C-2 involvement: case report with 2-year follow-up and description of operative technique. Br J Neurosurg. 2012;26:929–931. DOI: 10.3109/02688697.2012.685785.

33. Yang J, Yang X, Miao W, Jia Q, Wan W, Meng T, Wu Z, Cai X, Song D, Xiao J. Spine extra-osseous chordoma mimicking neurogenic tumors: report of three cases and review of the literatures. World J Surg Oncol. 2016;14:206. DOI: 10.1186/s12957-016-0951-0.

34. Palliyil NS, Deogaonkar K, Sankhe M. Surgical management of a case of C2 vertebral chordoma via staged anterior and posterior approach. Indian Spine J. 2020;3:

35. –122. DOI: 10.4103/isj.isj_68_18.

36. Ando K, Imagama S, Kobayashi K, Nishida Y, Ishiguro N. Aggressive osteoblastoma of the cervical spine involving the canal and vertebral artery: a case report. Eur Spine J. 2017;26(Suppl 1):111–116. DOI: 10.1007/s00586-016-4904-7.

37. Chew FS, Pena CS, Keel SB. Cervical spine osteoblastoma. AJ. Am J Roentgenol. 1998;171:1244. DOI: 10.2214/ajr.171.5.9798854.

38. Lee CH, Min WK. Cervical subtotal en-bloc spondylectomy of C6 mesenchymal chondrosarcoma. Eur Spine J. 2016;25:2117–2123. DOI: 10.1007/s00586-015-4297-z.

39. Shaaya E, Fridley J, Barber SM, Syed S, Xia J, Galgano M, Oyelese A, Telfeian A, Gokaslan Z. Posterior nerve-sparing multilevel cervical corpectomy and reconstruction for metastatic cervical spine tumors: case report and literature review. World Neurosurg. 2019;122:298–302. DOI: 10.1016/j.wneu.2018.11.010.

40. Wetzel SG, Martin JB, Somon T, Wilhelm K, Rufenacht DA. Painful osteolytic metastasis of the atlas: treatment with percutaneous vertebroplasty. Spine. 2002;27:E493–E495. DOI: 10.1097/00007632-200211150-00022.

41. McLoughlin GS, Sciubba DM, Suk I, Bydon A, Witham T, Wolinsky JP, Gokaslan ZL. Resection of a retropharyngeal craniovertebral junction chordoma through a posterior cervical approach. J Spinal Disord Tech. 2010;23:359–365. DOI: 10.1097/BSD.0b013e3181aaca99.

42. Rhines LD, Fourney DR, Siadati A, Suk I, Gokaslan ZL. En bloc resection of multilevel cervical chordoma with C-2 involvement. Case report and description of operative technique. J Neurosurg Spine. 2005;2:199–205. DOI: 10.3171/spi.2005.2.2.0199.

43. Weil AG, Shehadeh M, Ayad T, Abboud O, Shedid D. En bloc resection of a C2–C3 upper cervical chordoma: Technical note. Surg Neurol Int. 2015;6(Suppl 24):S615–S618. DOI: 10.4103/2152-7806.170450.

44. Baber WW, Numaguchi Y, Kenning JA, Harkin JC. Periosteal chondroma of the cervical spine: one more cause of neural foramen enlargement. Surg Neurol. 1988;29:149–152. DOI: 10.1016/0090-3019(88)90074-2.

45. Chi JH, Acosta FL Jr, Aryan HE, Chou D, Ames CP. Partial spondylectomy: modification for lateralized malignant spinal column tumors of the cervical or lumbosacral spine. J Clin Neurosci. 2008;15:43–48. DOI: 10.1016/j.jocn.2006.12.006.

46. Jeszenszky D, Fekete TF, Melcher R, Harms J. C2 prosthesis: anterior upper cervical fixation device to reconstruct the second cervical vertebra. Eur Spine J. 2007;16:1695–1700. DOI: 10.1007/s00586-007-0435-6.

47. Jiang L, Liu ZJ, Liu XG, Ma QJ, Wei F, Lv Y, Dang GT. Upper cervical spine chordoma of C2-C3. Eur Spine J. 2009;18:293–300. DOI: 10.1007/s00586-009-0907-y.

48. Junming M, Cheng Y, Dong C, Jianru X, Xinghai Y, Quan H, Wei Z, Mesong Y, Dapeng F, Wen Y, Bin N, Lianshun J, Huimin L. Giant cell tumor of the cervical spine: a series of 22 cases and outcomes. Spine. 2008;33:280–288. DOI: 10.1097/BRS.0b013e318162454f.

49. Matamalas A, Gargallo A, Porcel JA, Garcia de Frutos A, Pellise F. Cervical spine epithelioid hemangioendothelioma: case report. Eur Rev Med Pharmacol Sci. 2014;18(1 Suppl):72–75.

50. Zileli M, Kilinçer C, Ersahin Y, Cagli S. Primary tumors of the cervical spine: a retrospective review of 35 surgically managed cases. Spine J. 2007;7:165–173. DOI: 10.1016/j.spinee.2006.04.027.

51. Ahsan F, Inglis T, Allison R, Inglis GS. Cervical chordoma managed with multidisciplinary surgical approach. ANZ J Surg. 2011;81:331–335. DOI: 10.1111/j.1445-2197.2010.05575.x.

52. Erdogan B, Aydin MV, Sen O, Sener L, Bal N, Yalcin O. Giant cell tumour of the sixth cervical vertebrae with close relationship to the vertebral artery. J Clin Neurosci. 2005;12:83–85. DOI: 10.1016/j.jocn.2004.02.017.

53. Vrints I, Depreitere B, Vranckx JJ. Multilevel cervical reconstruction with no remaining hardware: the potential of a vascularised fibular strut graft. J Plast Reconstr Aesthet Surg. 2012;65:E344–E347. DOI: 10.1016/j.bjps.2012.09.007.

54. Zacay G, Eyal A, Shacked I, Hadani M, Faibel M, Kronenberg J, Talmi YP. Chordoma of the cervical spine. Ann Otol Rhinol Laryngol. 2000;109:438–440. DOI: 10.1177/000348940010900417.

55. Schneider M, Sabo D, Gerner HJ, Bernd L. Destructive osteoblastoma of the cervical spine with complete neurologic recovery. Spinal Cord. 2002;40:248–252. DOI: 10.1038/sj.sc.3101288.

56. Cebula H, Boujan F, Beaujeux R, Boyer P, Froelich S. [Giant cell tumor of the C2 colonized by an aneurismal bone cyst. Report of case]. Neurochirurgie. 2012;58:376–381. DOI: 10.1016/j.neuchi.2012.03.008.

57. Cohen ZR, Fourney DR, Marco RA, Rhines LD, Gokaslan ZL. Total cervical spondylectomy for primary osteogenic sarcoma. Case report and description of operative technique. J Neurosurg. 2002;97(3 Suppl):386–392. DOI: 10.3171/spi.2002.97.3.0386.

58. Currier BL, Papagelopoulos PJ, Krauss WE, Unni KK, Yaszemski MJ. Total en bloc spondylectomy of C5 vertebra for chordoma. Spine. 2007;32:E294–E299. DOI: 10.1097/01.brs.0000261411.31563.37.

59. D’Haen B, De Jaegere T, Goffin J, Dom R, Demaerel P, Plets C. Chordoma of the lower cervical spine. Clin Neurol Neurosurg. 1995;97:245–248. DOI: 10.1016/0303-8467(95)00043-j.

60. George B, Atallah A, Laurian C, Tayon B, Mikol J. Cervical osteochondroma (C2 level) with vertebral artery occlusion and second cervical nerve root irritation. Surg Neurol. 1989;31:459–464. DOI: 10.1016/0090-3019(89)90092-x.

61. Hyun SJ, Rhim SC, Riew KD. A combined posterior, lateral, and anterior approach to ventrolaterally situated chordoma of the upper cervical spine. Surg Neurol. 2009;72:409–413. DOI: 10.1016/j.surneu.2008.11.017.

62. Leitner Y, Shabat S, Boriani L, Boriani S. En bloc resection of a C4 chordoma: surgical technique. Eur Spine J. 2007;16:2238–2242. DOI: 10.1007/s00586-007-0468-x.

63. Muhlbauer M, Knosp E. The lateral transfacetal retrovascular approach for an anteriorly located chordoma originating from the second cervical vertebra. Acta Neurochir (Wien). 2001;143:369–376. DOI: 10.1007/s007010170092.

64. Ren XF, Xi YM, Zhang GQ, Yang WJ, Zhang X, Yang DL, Hu YG. Single-stage combined anterior retropharyngeal and posterior approach for the resection and reconstruction of C2 metastatic tumors: A case report. Exp Ther Med. 2014;7:887–890. DOI: 10.3892/etm.2014.1493.

65. Ruan H, Mehra RN, Park D, Chou D. Intradural invasion of cervical chordoma in a 34 year old patient. Neurol India. 2019;67:1545–1548. DOI: 10.4103/0028-3886.273633.

66. Sertbas I, Karatay M, Hacisalihoglu UP. Cervical spine giant cell bone tumor: a case report. World J Surg Oncol. 2019;17:82. DOI: 10.1186/s12957-019-1625-5.

67. Shikata J, Yamamuro T, Iida H, Kotoura Y. Benign osteoblastoma of the cervical vertebra. Surg Neurol. 1987;27:381–385. DOI: 10.1016/0090-3019(87)90018-8.

68. Stavridis SI, Pingel A, Schnake KJ, Kandziora F. Diagnosis and treatment of a C2-osteoblastoma encompassing the vertebral artery. Eur Spine J. 2013;22:2504–2512. DOI: 10.1007/s00586-013-2875-5.

69. Tenny SO, Ehlers LD, Robbins JW, Gillis CC. Marginal en bloc resection of C2–C3 chordoma with bilateral vertebral artery preservation and mesh cage reconstruction with review of previously published cases. World Neurosurg. 2017;108:993.E1–993.E7. DOI: 10.1016/j.wneu.2017.08.178.

70. Vecil GG, Schachar NS, Hurlbert RJ. Musculoskeletal images. C3 aneurysmal bone cyst. Can J Surg. 2002;45:11–15.

71. Boriani S, Weinstein JN, Biagini R. Primary bone tumors of the spine: terminology and surgical staging. Spine. 1997;22:1036–1044. DOI: 10.1097/00007632-199705010-00020.

72. Lasanianos NG, Triantafyllopoulos GK, Pneumaticos SG. Spinal tumours. In: Lasanianos N., Kanakaris N., Giannoudis P. (eds) Trauma and Orthopaedic Classifications. Springer, London. 2015; 261–263. DOI:10.1007/978-1-4471-6572-9_59.

73. Barker R, Fareedi S, Thompson D, Saunders D. The use of CT angiography in the preoperative planning of cervical spine surgery in children. Childs Nerv Syst. 2009;25:955–959. DOI: 10.1007/s00381-009-0904-9.

74. Wallace, Austin M, Kamran M, Kansagra A, Osbun J, Cross D, Moran C. E-056 Safety and effectiveness of preoperative endovascular vertebral artery sacrifice. J Neurointerv Surg. 2017;9(Suppl 1):A69. DOI: 10.1136/neurintsurg-2017-SNIS.128.

75. Patsalides A, Leng LZ, Kimball D, Marcus J, Knopman J, Laufer I, Bilsky M, Gobin YP. Preoperative catheter spinal angiography and embolization of cervical spinal tumors: Outcomes from a single center. Interv Neuroradiol. 2016;22:457–465. DOI: 10.1177/1591019916637360.

76. Ogungbemi A, Elwell V, Choi D, Robertson F. Permanent endovascular balloon occlusion of the vertebral artery as an adjunct to the surgical resection of selected cervical spine tumors: A single center experience. Interv Neuroradiol. 2015;21:532–537. DOI: 10.1177/1591019915590072.

77. Vetter SC, Strecker EP, Ackermann LW, Harms J. Preoperative embolization of cervical spine tumors. Cardiovasc Intervent Radiol. 1997;20:343–347. DOI: 10.1007/s002709900165.

78. Carpentier A, Polivka M, Blanquet A, Lot G, George B. Suboccipital and cervical chordomas: the value of aggressive treatment at first presentation of the disease. J Neurosurg. 2002;97:1070–1077. DOI: 10.3171/jns.2002.97.5.1070.

79. Eleraky M, Setzer M, Vrionis FD. Posterior transpedicular corpectomy for malignant cervical spine tumors. Eur Spine J. 2010;19:257–262. DOI: 10.1007/s00586-009-1185-4.

80. George B, Laurian C. Impairment of vertebral artery flow caused by extrinsic lesions. Neurosurgery. 1989;24:206–214. DOI:10.1227/00006123-198902000-00009.

81. Molina CA, Ames CP, Chou D, Rhines LD, Hsieh PC, Zadnik PL, Wolinsky JP, Gokaslan ZL, Sciubba DM. Outcomes following attempted en bloc resection of cervical chordomas in the C-1 and C-2 region versus the subaxial region: a multiinstitutional experience. J Neurosurg Spine. 2014;21:348–356. DOI: 10.3171/2014.5.SPINE121045.

82. Wei F, Liu Z, Liu X, Jiang L, Dang G, Passias PG, Yu M, Wu F, Dang L. An approach to primary tumors of the upper cervical spine with spondylectomy using a combined approach: our experience with 19 cases. Spine. 2018;43:81–88. DOI: 10.1097/BRS.0000000000001007.

83. Zhou H, Jiang L, Wei F, et al. Chordomas of the upper cervical spine: clinical characteristics and surgical management of a series of 21 patients. Chin Med J (Engl). 2014;127:2759–2764.

84. Choi D, Melcher R, Harms J, Crockard A. Outcome of 132 operations in 97 patients with chordomas of the craniocervical junction and upper cervical spine. Neurosurgery. 2010;66:59–65. DOI: 10.1227/01.NEU.0000362000.35742.3D.

85. Hoshino Y, Kurokawa T, Nakamura K, Seichi A, Mamada T, Saita K, Miyshi K. A report on the safety of unilateral vertebral artery ligation during cervical spine surgery. Spine. 1996;21:1454–1457. DOI: 10.1097/00007632-199606150-00011.

86. Al Barbarawi M, Odat Z, Alheis M, Qudsieh S, Qudsieh T. Surgical resection of neoplastic cervical spine lesions in relation to the vertebral artery V2 segment. Neurol Int. 2010;2:E11. DOI: 10.4081/ni.2010.e11.

87. Wang Y, Xiao J, Wu Z, Huang Q, Huang W, Zhu Q, Lin Z, Wang L. Primary chordomas of the cervical spine: a consecutive series of 14 surgically managed cases. J Neurosurg Spine. 2012;17:292–299. DOI: 10.3171/2012.7.SPINE12175.

88. Mattei TA, Mendel E. En bloc resection of primary malignant bone tumors of the cervical spine. Acta Neurochir (Wien). 2014;156:2159–2164. DOI: 10.1007/s00701-014-2075-z.

89. Westbroek EM, Pennington Z, Ehresman J, Ahmed AK, Gailloud P, Sciubba DM. Vertebral artery sacrifice versus skeletonization in the setting of cervical spine tumor resection: case series. World Neurosurg. 2020;139:E601–E607. DOI: 10.1016/j.wneu.2020.04.071.


Для цитирования:


Глухов Д.А., Зорин В.И., Мушкин А.Ю. Особенности хирургии опухолей шейного отдела позвоночника в области позвоночной артерии: обзор литературы. "Хирургия позвоночника". 2020;17(3):91-99. https://doi.org/10.14531/ss2020.3.91-99

For citation:


Glukhov D.A., Zorin V.I., Yu. M.A. Surgery of cervical spine tumors in the close vicinity to the vertebral artery: literature review. Hirurgiâ pozvonočnika (Spine Surgery). 2020;17(3):91-99. https://doi.org/10.14531/ss2020.3.91-99

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