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FIGURE 44.209
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Axial (A) and lateral (B) illustrations of Tomita anatomic classification of primary spinal malignant tumors. Lesions are classified by their location on vertebra using numeric scheme that reflects most common progression of tumor growth: 1, vertebral body; 2, pedicle; 3, lamina and transverse and spinous processes; 4, spinal canal and epidural space; and 5, paravertebral space.

出典

img 1:  Redrawn from Tomita K, Kewahara N, Baba H, et al: Total en bloc spondylectomy: a new surgical technique for primary malignant vertebral tumors, Spine 22:324, 1997.