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Single-stage Posterolateral Vertebrectomy for the Management of Metastatic Disease of the Thoracic and Lumbar Spine A Prospective Study of an Evolving Surgical Technique

Single-stage Posterolateral Vertebrectomy for the Management of Metastatic Disease of the... ORIGINAL ARTICLE Single-stage Posterolateral Vertebrectomy for the Management of Metastatic Disease of the Thoracic and Lumbar Spine A Prospective Study of an Evolving Surgical Technique John Street, PhD, Charles Fisher, MD, Joseph Sparkes, MD, Michael Boyd, MD, Brian Kwon, PhD, Scott Paquette, MD, and Marcel Dvorak, MD alliative care of spinal metastases represents a Abstract: Appropriate surgical management of spinal metastases Psignificant and growing disease burden with the combines maximal neural decompression with simultaneous traditional therapeutic modalities of chemotherapy and immediate spinal column stabilization in the context of a radiotherapy now being complemented to an ever- 1–6 paliative operation undertaken to improve patients’ quality of increasing degree by surgery. Indications for surgery life. We have used a single-stage posterolateral vertebrectomy include high-grade epidural spinal cord compression, (SPLV) for disease of the lumbar spine, combined with bilateral spinal instability, or tumor progression after the radiation costotransversectomies in the thoracic spine, for these challen- therapy. The goals of surgical management are neural ging cases. In this prospective cohort study of 96 consecutive decompression, attainment of spinal stability, and local 6–8 patients with metastatic disease of the spinal column for we tumor control. describe our surgical technique in detail, we examine our http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Spinal Disorders & Techniques Wolters Kluwer Health

Single-stage Posterolateral Vertebrectomy for the Management of Metastatic Disease of the Thoracic and Lumbar Spine A Prospective Study of an Evolving Surgical Technique

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References (31)

ISSN
1536-0652
DOI
10.1097/BSD.0b013e3180335bf7
pmid
17912128
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL ARTICLE Single-stage Posterolateral Vertebrectomy for the Management of Metastatic Disease of the Thoracic and Lumbar Spine A Prospective Study of an Evolving Surgical Technique John Street, PhD, Charles Fisher, MD, Joseph Sparkes, MD, Michael Boyd, MD, Brian Kwon, PhD, Scott Paquette, MD, and Marcel Dvorak, MD alliative care of spinal metastases represents a Abstract: Appropriate surgical management of spinal metastases Psignificant and growing disease burden with the combines maximal neural decompression with simultaneous traditional therapeutic modalities of chemotherapy and immediate spinal column stabilization in the context of a radiotherapy now being complemented to an ever- 1–6 paliative operation undertaken to improve patients’ quality of increasing degree by surgery. Indications for surgery life. We have used a single-stage posterolateral vertebrectomy include high-grade epidural spinal cord compression, (SPLV) for disease of the lumbar spine, combined with bilateral spinal instability, or tumor progression after the radiation costotransversectomies in the thoracic spine, for these challen- therapy. The goals of surgical management are neural ging cases. In this prospective cohort study of 96 consecutive decompression, attainment of spinal stability, and local 6–8 patients with metastatic disease of the spinal column for we tumor control. describe our surgical technique in detail, we examine our

Journal

Journal of Spinal Disorders & TechniquesWolters Kluwer Health

Published: Oct 1, 2007

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