medigraphic.com
Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado

2014, Number 4

<< Back

Rev Esp Med Quir 2014; 19 (4)

Management of metastatic spine adenocarcinoma by primary tumor in bladder

Rodríguez-Messina AF, Benavides-Rodríguez D, González-Hernández P, Chávez-Maqueda MF, Viera-Ordóńez JY, Lima-Ramírez PG

Language: Spanish
References: 8
Page: 512-516
PDF size: 757.70 Kb.


ABSTRACT

The treatment for metastasic lesions in the spine has been a challenge for the spine surgeons because of its difficult stabilization and decompression of the spinal cord that it generates. There is a great controversy about the best treatment in this pathology, if they should be treat by surgery or not. Recently it has been described the benefits of the surgical treatment, getting a good decompression of the spinal cord, stabilization and pain relief, improving the quality of life of the patient, even when the prognosis is bad functionally and has a short life expectancy. The actual surgical technics are circumferential decompressions by posterior approach, stabilization with transpedicular segmental systems, vertebroplasty and cifoplasty. We present a case of a patient with multiple metastátic lesions of the spine, characterized by toracolumbar radiculopaty who was treated by combined surgical treatment, improving the neurological state and quality of life.


REFERENCES

  1. Andrew P. White, Brian K. Kwon, Dieter M. Lindskog, Gary E. Friedlaender, Jonathan N. Grauer. Metastatic Disease of the Spine. American Academy of Orthopaedic Surgeons. October 2006 Volumne 14:11.

  2. Christian Mazel, Laurent Balabaud, S. Bennis, S. Hansen ¨Cervical and Thoracic Spine Tumor Management: Surgical Indications, Techniques, and Outcomes. Orthop Clin N Am 2009;40:75-92.

  3. Todd Alamin, Robert Mayle. Lumbar Tumor Resections and Management. Orthop Clin N Am 2009;40:93-104.

  4. Peter S. Rose, Jacob M. Buchowski. Metastatic Disease in the Thoracic and Lumbar Spine: Evaluation and Management. J Am Acad Orthop Surg 2011;19:37-48.

  5. John S. Cole, Roy A. Patchell. Metastatic epidural spinal cord compression. Lancet Neural 2008;7:459-66.

  6. Onder Ofluoglu. Minimally Invasive Management of Spinal Metastases. Orthop Clin N Am 2009;40:155-168.

  7. Daniel M. Sciubba, Trang Nguyen, Ziya L. Gokaslan. Solitary Vertebral Metastasis. Orthop Clin N Am 2009;40:145-154.

  8. Safdar N. Khan, Rakesh Donthineni. Surgical Management of Metastatic Spine Tumors. Orthop Clin N Am 2006;37:99-104.




2020     |     www.medigraphic.com