Details

Autor(en) / Beteiligte

• Gezercan, Yurdal
• Çavuş, Gökhan
• Ihsan Ökten, Ali
• Menekşe, Güner
• Çikili, Mustafa
• Adamhasan, Fulya
• Arslan, Ali
• Açik, Vedat

Titel

Single-Stage Posterolateral Transpedicular Approach with 360-Degree Stabilization and Vertebrectomy in Primary and Metastatic Tumors of the Spine

Ist Teil von

• World neurosurgery, 2016-11, Vol.95, p.214-221

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2016

Quelle

Access via ScienceDirect (Elsevier)

Beschreibungen/Notizen

• Abstract Objective Currently, anterior, posterior or combined approaches are used in various spinal disorders. However, a single-stage posterolateral transpedicular approach with 360-degree stabilization and vertebrectomy provides better results for spinal tumors. Methods We evaluated the age, gender distribution, presenting symptoms, neurological examination findings according to the pre- and post-operative Frankel classification, pre- and post-operative VAS pain scores, pre-operatively administered medical therapies, pre- and post-operative corset use, level of the lesion, levels of previous surgical interventions, root ligation (if performed), results of the primary disease, hospitalization duration (after the operation), post-operative complications (if any), post-operative follow-up duration and post-operative survival duration of 22 patients. Results We observed that primary bone tumors were localized in the lumbar (75 %) and thoracic regions (25 %) and that metastatic tumors were localized in the thoracic (77.78 %) and lumbar regions (22.22 %). The VAS and Frankel scores of the 22 patients who were included in the study revealed that this surgical treatment modality was associated with statistically significant improvements in test scores (p<0.001). No rib-cage dislocation was observed. In one patient (4.54 %), a neurological deficit developed. Two patients (9.09 %) required revision because of screw malposition. Conclusion In spinal tumors, 360-degree fusion performed via a posterolateral approach is a less risky, relatively safe and less invasive method. This method, which reduces the risks of anesthesia and internal problems and decreases cost, is an essential technique for decreasing hospitalization duration, improving pain levels and achieving faster mobilization and faster initiation of radiotherapy and chemotherapy.