2005, Number 3
Metastatic tumors of the spine, handling and surgical indication
de la Torre GDM, Góngora LJ, Pérez MJA
Full text
Language: Spanish
References: 7
Page: 117-120
PDF size: 68.03 Kb.
ABSTRACT
The spine is the most frequent site of bony metastasis, occupying 60%. The surgeons of spine often we will be implied in the care of these patients only after the preservative handling has failed. The surgery of the column in the metastasis of carcinoma has very precise indications since it has not demonstrated that it is better than the radiotherapy. Objective. Create a judgment of which patient they will have to be taken part surgically to eliminate the pain, to avoid neurological problems and to give stability to the spine and to not only think about a palliative treatment. Material and methods. Experience in the Hospital Juarez of Mexico in the Service of Orthopedic and Traumatology, of January of 1998 to December of the 2004. Treatment in forty-six patients with metastasis of carcinoma to the spine, with radiotherapy and surgery (previous and later boarding). Results. In ten patients dealt with radiotherapy and chemotherapy, twenty-seven patients dealt with surgery for liberation of the radicular compression, stabilization and fixation of the column. In nine patients deal with sublaminar wire and steel bars surgically presented irreversible paraplegia. Discussion. Most of the surgeons of the column prefer the boarding by previous route because it allows the direct access to the injury since the later route is only indicated when to the tumor has invaded to the pedicle and this only appears in a fifteen percent.REFERENCES