Strategy in the diagnostics and therapy of tumours of the spine Andrzej Radek, Krzysztof Zapałowicz, Andrzej Maciejczak, Józef Karbownik, Maciej Radek, Piotr Gasiński, Bartosz Godlewski Ortop Traumatol Rehabil 2003; 5(4):530-533 ICID: 11032
Article type: Review article
IC™ Value: 4.66
Abstract provided by Publisher
The authors present the diagnostic methods and basic surgical procedures used in treatment of spinal neoplasms. Both metastatic and primary spinal tumours lead to instability and loss of the protective function. Spinal cord can be damaged by compression or increased mobility of the vertebral column. Pain is reported as common symptom. Investigations include: plain X-ray films, myelography, radioisotope bone scan, CT, MRI and needle biopsy. The goal of surgery is to improve the quality of life with preservation of neurological function, reduction of pain and assured spinal stability. Indications for surgery are related with patient's general condition, grade of neoplasmatic disease, neurological symptoms and spinal involvement. Curative surgery include total removal of the tumour with affected vertebral body, followed by spinal stabilization. Palliative surgery as partial tumour removal, partial removal of the vertebral body or laminectomy are performed for spinal decompression. In the majority of cases surgery is combined with radiotheraphy, chemiotheraphy and treatment of pain.
Main goal of surgery in the treatment of spinal metastatic lesions are: tumor removal (cytoreduction), protection of the spinal cord and spinal stabilization. The choice of surgical treatment depends on spinal involvement and neurological status.
ICID 11032 PMID 18034056 - click here to show this article in PubMed