Open AccessTotal en bloc spondylectomy for solitary spinal metastases
Author(s) -
Katsuro Tomita,
Katsuro Tomita,
Norio Kawahara,
H Kaвaxapa,
H. Baba,
X Баба,
Hiroyuki Tsuchiya,
X Цучия,
S. Nagata,
S. Nagata,
Yasumitsu Toribatake,
Я Торибатаке
Publication year - 1996
Publication title -
vestnik travmatologii i ortopedii imeni n.n. priorova
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.