2013, Number 3
<< Back Next >>
Ortho-tips 2013; 9 (3)
Tumors and the backbone
Bitar-Alatorre WE
Language: Spanish
References: 19
Page: 192-201
PDF size: 172.98 Kb.
ABSTRACT
Tumors of the spine are primary or metastatic destructive processes. They are classified as benign and malignant. Although the benign destroy normal bone tissue they do not tend to invade other tissue while the malignant lesions do, which also have the potential to destroy other segments of the spine and other distant organs, also known as metastatic lesions. All spinal secondary tumors which originate in a different organ than the spine are considered malignant. The diagnosis and treatment of primary and metastatic tumors of the spine have been studied intensely, with the objective of improving the opportunity in the diagnosis using different laboratory analysis and imaging, done to adequately treat each patient while avoiding or reducing neurological damage and maintaining mechanical stability of the spine. The creation and update of Practice Guidelines will assist in helping the patient who has destruction of one or more segments of the spine.
REFERENCES
Rosales-Olivares LM, Valle-Cerna I, Alpízar-Aguirre A, Miramontes-Martínez V, Arenas-Sordo Mde L, Reyes-Sánchez A. Percutaneos biopsy evaluation in the diagnosis of thoracic and lumbar vertebral destruction syndrome. Cir Cir. 2007; 75 (6): 459-463.
García LM, Farré M, Montero A. Dolor lumbar de origen neoplásico. Diagnóstico y tratamiento conservador. Rev Soc Esp Dolor. 2001; 8 (Supl. II): 118-123.
Durand JP, Karoubi M, Anract P, Goldwaser F. Metástasis óseas: manejo multidisciplinario, conducta diagnóstica y terapéutica. EMC-Aparato Locomotor. 2013; 46 (1): 1-16.
Pinieux G de, Bouvier C, Brouchet A, Rosset P. Estrategia diagnóstica, anatomía patológica y clasificación de los tumores óseos primarios. EMC - Aparato Locomotor. 2013; 46 (1) 1-15.
Van Goethem JWM, Van den Hauwe L, Özsarlak Ö, De Schepper AMA, Parizel PM. Spinal Tumors. European Journal of Radiology. 2004; 50 (2): 159-176.
Louis DN, Ohgaki H, Wiestler OD, Cavenee WK, Burger PC, Jouvet A, Scheithauer BW, Kleihues P. The 2007 WHO Classification of Tumors of the Central Nervous System. Acta Neuropathol. 2007; 114 (2): 97-109.
Terek R. Fisiología de los tumores OKU. 2003; 3-10.
Chen TJ, Benzel E. Primary tumors of the spine. Contemp Neurosurg. 2006; 28: 1-8.
Alpízar-Aguirre A, Elías-Escobedo A, Rosales-Olivares LM, Miramontes-Martínez V, Reyes-Sánchez A. Síndrome de destrucción vertebral. Sistemas de evaluación en su diagnóstico. Cir Ciruj. 2008; 76: 205-2011.
Alpízar-Aguirre A, Rosales-Olivares LM, Sánchez-Bringas G, Barón-Zarate K, Escutia-García JG, Reyes-Sánchez A. Evaluación de una nueva sistematización de estudios para el diagnóstico del síndrome de destrucción vertebral. Coluna/Columna Sao Paulo 2012; 11 (2).
Chong-Suh L, Chul-Hee J. Metastatic spinal tumor. Asian Spine Journal. 2012; 6 (1): 71-87.
Fairbank JCT, Pynsent PB. The Oswentry Disability Index. SPINE 2000 Volume 25, Number 22; 2940-2953. Lippincott Williams & Wilkins, Inc.
Melcher I, Disch AC, Khodadadyan-Klostermann C, Tohtz S, Smonlny M, Stöckle U, Haas NP, Klaus-Dieter Schaser. Primary malignant bone tumors and solitary metastases of the thoracolumbar spine: results by management with total en bloc spondilectomy. Eur Spine J. 2007; 16 (8): 1193-1202.
Tomita K, Kawahara N, Murakami H, Demura S. Total en bloc spondilectomy for spinal tumors: improvement of the technique and its associated basic background. J Orthop Sci. 2006; 11 (1): 3-12.
Yao KC, Boriani S, Gokaslan ZL, Sundaresan N. In: bloc spondylectomy for spinal metastases: a review of techniques. Neurosurg Focus. 2003; 15 (5): E6.
Stener B, Gunterberg B. High amputation of the sacrum for extirpation of tumors: principles and technique. Spine. 1978; (4): 351-366.
Chejne GF, Plancarte SR, Guajardo RJ. Vertebroplastia: efectividad en las metástasis vertebrales. Cancerología 1. (2006); 245-252.
Postigo R. Tumores de la columna vertebral. Revista Médica. 2001; 12 (3).
Alpízar-Aguirre A, Chávez-Miguel C, Zárate-Kalfópulos B, Rosales-Olivares LM, Baena-Ocampo LD, Reyes-Sánchez A. Tumores intradurales extramedulares primarios tratados en el Instituto Nacional de Rehabilitación. Cir Ciruj. 2009; 77: 107-110.