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Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
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2016, Number 4

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Acta Ortop Mex 2016; 30 (4)

360 degrees instrumentation for cervical instability due to metastatic bone disease. Case report

Vargas-Jasso JE, Clara-Altamirano MA, Reyes-Soto G, Cuéllar-Hubbe M, Mejía-Pérez JA
Full text How to cite this article

Language: Spanish
References: 7
Page: 201-203
PDF size: 397.75 Kb.


Key words:

Metastasic bone disease, medular injury, instability, fixation.

ABSTRACT

Introduction: The spine is the most common site for bone metastases; being the breast, prostate and lung cancer which have most affected. The thoracic spine is involved in 70% of cases, followed by the lumbar and cervical region. Material and methods: This is a 59 years old female diagnosed with breast adenocarcinoma and metastatic bone disease in cervical spine C2, C3 level and instability of that segment because of a compression fracture of C3 greater than 80% without invasion of the spinal canal, she begins with paresthesias of upper limbs. A 360º instrumentation was performed in two stages. After the surgical procedure the patient were without neck pain and a good neurological status. Discussion: Metastatic bone disease causes significant damage to the spine sometimes create instability proper instrumentation is needed to improve the functional status and prognosis of these lesions.


REFERENCES

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  3. Harrington KD: Metastatic disease of the spine. J Bone Joint Surg Am. 1986; 68(7): 1110-5.

  4. Byrne TN: Spinal cord compression from epidural metastases. N Engl J Med. 1992; 327(9): 614-9.

  5. Vrionis FD, Small J: Surgical management of metastatic spinal neoplasms. Neurosurg Focus. 2003; 15(5): E12.

  6. El Masry WS, Tsubo M, Katoh S, El Miligui YH, Khan A: Validation of the American Spinal Injury Association (ASIA) motor score and the National Acute Spinal Cord Injury Study (NASCIS) motor score. Spine (Phila Pa 1976). 1996; 21(5): 614-9.

  7. Tomita K, Kawahara N, Kobayashi T, Yoshida A, Murakami H, Akamaru T: Surgical strategy for spinal metastases. Spine (Phila Pa 1976). 2001; 26(3): 298-306.




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Acta Ortop Mex. 2016 Jul-Ago;30