Newsletter
Language
Language:
 
News
Archival Issues
Volume 18, 2016
Volume 17, 2015
Volume 16, 2014
Volume 15, 2013
Volume 14, 2012
Volume 13, 2011
Volume 12, 2010
Volume 11, 2009
Volume 10, 2008
Volume 9, 2007
Volume 8, 2006
Volume 7, 2005
Volume 6, 2004
Volume 5, 2003
Volume 4, 2002
Volume 3, 2001
Volume 2, 2000
Volume 1, 1999
Search
 » 
Journal Abstract
 
Surgical Treatment in Patients with Spinal Tumors - Differences in Surgical Strategies and Malignancy-Associated Problems. An Analysis of 474 Patients
Grzegorz Guzik
Ortop Traumatol Rehabil 2015; 17(3):229-240
ICID: 1162422
Article type: Original article
IC™ Value: 3.00
Abstract provided by Publisher
 
Background. Surgical treatment of spinal tumors, especially metastatic disease, is becoming increasingly popular, and its results are encouraging. However, good knowledge of clinical aspects of tumors and surgical techniques is essential. The aim of this paper was to analyze the problems of and differences in surgical strategies for spinal tumor surgery.
Material and methods. The objectives of this paper were accomplished on the basis of a retrospective evaluation of the surgical records of 474 patients with spinal tumors treated at the Oncological Orthopedics Department in Brzozów in the years 2010-2014. Preoperative and postoperative pain intensity, motor skills and neurological function were evaluated. Surgical strategies, operative approach to the spine, extent of bone resection, methods of filling bone voids and spinal fixation methods were analyzed.
Results. Pain intensity, measured with a VAS scale, decreased in most patients (84%). Motor skills, assessed with the Karnofsky score, improved in 67% of patients. Neurological deficits decreased in 36 out of 105 patients. 369 surgeries were performed from a posterior approach with a preference for long segment fixation. Anterior approach surgeries with tumor resection and implantation of a vertebral body prosthesis or cement were performed in 61 patients. 25 patients with upper thoracic spine pathology were operated from a posterolateral approach. The tumors were resected, prostheses or cement were implanted and transepiphyseal fixation of the spine was performed. Dual-approach surgery was performed in 19 patients, of whom two underwent simultaneous procedures. Laminectomy-associated damage to the dura mater was the most common complication. 34 patients were operated on due to infections of the surgical site. Seven patients died in the perioperative period.
Conclusions. 1. Surgical treatment with adjuvant radiotherapy should be a first-line choice for spinal metastases. 2. Qualification for the procedure involves several factors and should be individualized. 3. The surgical strategy for spinal tumors often differs from general principles of spinal surgery.

ICID 1162422

DOI 10.5604/15093492.1162422
PMID 26248624 - click here to show this article in PubMed
 
FULL TEXT 111 KB


Related articles
  • in IndexCopernicus™
         leczenie operacyjne kręgosłupa [0 related records]
         guzy kręgosłupa [0 related records]
         spinal fixation [1 related records]
         resection of spinal tumors [0 related records]
         spinal surgery [2 related records]
         Spinal Tumors [0 related records]
         metastases [25 related records]

  • Related articlesin PubMed database
  • in PubMed database [ related records]


  •  

    Copyright © Ortopedia Traumatologia Rehabilitacja  2017
    Page created by Index Copernicus Ltd. All Rights reserved.