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2012, Number 1

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Revista Cubana de Ortopedia y Traumatología 2012; 26 (1)

Approach combined in thoracolumbar spine for tumors

Sosa CM, Rodríguez ARA, Candebat RR, Mauri PO, Rajadel AR, Candebat CRR

Language: Spanish
References: 10
Page: 76-89
PDF size: 458.36 Kb.


ABSTRACT

Introduction: the progress of imaging, the survival of oncology patient and the development of short instrumentations increased the interest by the use of combined approaches.
Objective: to expose the experience of the Orthopedics service of "Hermanos Ameijeiras" Clinical Surgical Hospital in the combined approach of thoracolumbar spine.
Description: authors present 5 cases presenting with tumoral processes of thoracolumbar segment using a combined approach, operated on above mentioned service from February, 2007 to May, 2011. Following variables were included: age, sex, and type of tumor. Pain was assessed (Denis) and the preoperative and postoperative neurologic status (Frankel), as well as the complications.
Results: in patients aged under 50 there was predominance of female sex and of primary tumors: in preoperative period 4 patients had a C Frankel and in all of them it was possible to move to E. As regards the Denis pain between 3 and 4 moving to 0 and 1. Complications included graft luxation with a deep sepsis, as well as two dural sac tears.
Conclusions: the combined approach is an advantageous and recommendable option for surgical treatment in spinal tumors.


REFERENCES

  1. Frankel HL, Hancock DO, Hyslop G. The value of postural reduction in the initial management of closed injuries to the spine with paraplegia and tetraplegia. Paraplegia. 1969;7:179-92.

  2. Verlaan JJ, Diekerhof CH, Buskens E, van der Tweel I, Verbout AJ, Dhert WJ, et al. Surgical treatment of traumatic fractures of the thoracic and lumbar spine: a systematic review of the literature on techniques, complications, and outcome. Spine. 2004;29:803-14.

  3. Biagini R, Boriani S, Casadei R, Bandiera S, De Iure F, Campanacci L, et al. Tecniche di resezione nel trattamento dei tumori del rachide. Chir Org Mov. 1997;82:341-55.

  4. Kanayama M, Ng JTW, Cunningham BW, Abumi K, Kaneda K, McAfee PC. Biomechanical analysis of anterior versus circumferential spinal reconstruction for various anatomic stages of tumor lesions. Spine. 1999;24:445-50.

  5. Fourney DR, Abi-Said D, Rhines LD. Simultaneous anterior-posterior approach to the thoracic and lumbar spine for the radical resection of tumors followed by reconstruction and stabilization. J Neurosurg. 2001;94(2 Suppl):232-44.

  6. Abe E, Kobayashi T, Murai H. Total spondylectomy for primary malignant, aggressive benign, and solitary metastatic bone tumors of the thoracolumbar spine. J Spinal Disord. 2001;14:237-46.

  7. North RB, LaRocca VR, Schwartz J, North CA, Zahurak M, Davis RF, et al. Surgical management of spinal metastases: analysis of prognostic factors during a 10-year experience. J Neurosur Spine. 2005;2:564-73.

  8. Zou XN, Grejs A, Li HS, Hoy K, Hansen ES, Bünger C. Estimation of life expectancy for selecting surgical procedure and predicting prognosis of extradural spinal metastases. Ai Zheng. 2006;25(11):1406-10. (Abstract)

  9. Boriani S, Biagini R, Bandiera S, Gasbarrini A, De LF. Reconstruction of the anterior column of the thoracic and lumbar spine with a carbon fiber stackable cage system. Orthopedics. 2002;25:37-42.

  10. Boriani S. Tratamiento de las neoplasias primitivas del raquis toracolumbar. Rev Ortop Traumatol. 2004;48:225-40.




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