Total en bloc spondylectomy for solitary spinal metastases | Zendy

K. Tomita | Zendy; Norio Kawahara | Zendy; Hiroyuki Baba | Zendy; Haruo Tsuchiya | Zendy; S. Nagata | Zendy; Yasumitsu Toribatake | Zendy

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Total en bloc spondylectomy for solitary spinal metastases

Author(s) -

K. Tomita,

Norio Kawahara,

Hiroyuki Baba,

Haruo Tsuchiya,

S. Nagata,

Yasumitsu Toribatake

Publication year - 1996

Publication title -

n n priorov journal of traumatology and orthopedics

Language(s) - English

Resource type - Journals

eISSN - 2658-6738

pISSN - 0869-8678

DOI - 10.17816/vto64216

Subject(s) - medicine , laminectomy , surgery , vertebral body , lumbar , paralysis , resection , neurological deficit , back pain , metastasis , spinal cord , cancer , alternative medicine , pathology , psychiatry

We have developed a technique for total en bloc spondylectomy through a posterior approch and now report our experience of 20 patients with a solitary or localised metastasis in the thoracic or lumbar vertebrae. There are two steps: an en bloc laminectomy, followed by en bloc resection of the vertebral body with an oncological wide margin and the insertion of a vertebral prosthesis. Pain was relieved in the 17 patients who could be assessed; 11 of the 15 patients with a neurological deficit were much improved, impending paralysis being prevented in 5 patients. There have been no local recurrences. Nine patients are at present alive with a mean follow up of 17,4 months.

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