De la Torre-González DM, Aguilar-Araiza MA, Ávila-Fuentes DN, Robles-Pérez E, Ramos-Cano VH, De la Torre-Rosas R

Language: Spanish
References: 18
Page: 168-172
PDF size: 249.36 Kb.

ABSTRACT

Introduction. The spine is the third most common site for cancer cells to metastasize, following the lung and the liver. Nearly 15% of patients with cancer present symptoms related to metastatic spinal tumor before death and 70% of autopsy made in this patients show metastatic tumor at this region. The classification of this type of spinal lesions are intradural and extradural. Most common primary tumors that metastasize to the spine are breast, lung, prostate, kidney and haematopoyetic cancers. Objective. Upon completion of this article, the reader should be able to achieve early diagnosis followed by multidisciplinary treatment with the goal of neurologic function preservation and quality of life. Material and methods. This is a prospective study made by the Orthopedic Trauma Service Spine Division at Hospital Juárez de México from January 1998 to December 2012. We have had 109 patients with metastatic spine tumor. The variables evaluated were clinical history, spine X-ray, bone gammagraphy, MRI, hematic biometry, tumor markers and biopsy. Results. 109 patients with cancer and back pain. Of those, 87 presented neurologic symptomatology and 22 without it. All patients underwent spine surgery (biopsy and fixation). In almost all patients (85%) with neurologic symptomatology we performed anterior corporectomy with implant and in the remaining patients (15%) posterior approach was perform (invasion to the posterior arch by tumor). Conclusion. The diagnosis and treatment for metastatic spine tumor must be leaded by the oncologist and treated by a multidisciplinary medical and surgical team. The spine surgeon is a key factor in the treatment of pain, vertebral stability and neurologic function preservation.

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