Torre-González DM, Aboharp-Hasan Z, Rusbell-Maza C, Pérez-Meave JA

Language: Spanish
References: 16
Page: 26-30
PDF size: 300.41 Kb.

ABSTRACT

Introduction: The metastasis of carcinomas is injurious principally to the axial skeleton and lower limbs. The vertebral column is affected in 69% of patients. Metastasis in the vertebral column have a special field, due to the functional alterations that cause it. Generally, the intra-osseous disease causes pathologic fractures, vertebral instability, and neurologic compression, causing pain. Objective: To value the best approach and manner for spinal stabilization in metastatic carcinoma disease. Treatment must be applied for each patient by different specialists for maximum benefit. The study shows the experience in 15 patients with toracolumbar metastasis in the spine. Material and methods: This study shows the experience in 15 patients with toracolumbar metastasis in the spine. The study was conducted in the in Orthopedics, Oncology, Gynecology, Urology and Neurology Service of the Hospital Juarez de Mexico, SSA, from January 1998 to December 2000. This surgical treatment was directed by anterior, posterior, or combined management. Results: In 13 patients, we utilized decompression and stabilization by anterior via of surgery; in eight patients, we used autogenous bone, in five patients, methyl metachrylate, and two patients, posterior surgery, when observed more than two vertebral lesions. All patients referred lees pain immediately after surgery. Discussion: Vertebral column surgery is preferable to anterior surgery because the lesion is always found in the vertebral body. Resection is easin and completely avoids bleeding in surgery. In anterior surgery, we can effect liberation, resection of the lesion, and stabilization.

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