Lin Huang1, Keng Chen, Ji-Chao Ye, Yong Tang, Rui Yang, Peng Wang, Hui-Yong Shen. 1. Department of Orthopedics, Memorial Hospital of Sun Yat-sen University, Institute of Spinal Cord Injury, Sun Yat-sen University, 107 Yanjiang Xi Road, Guangzhou, Guangdong Province 510120, People's Republic of China. hakkahuanglin@gmail.com
Abstract
PURPOSE: The objectives of this study were to describe our surgical management with a modified total en bloc spondylectomy (TES) and to evaluate the clinical effects in patients with thoracolumbar tumors. METHODS: Sixteen consecutive patients with thoracolumbar neoplasms underwent a modified TES via single posterior approach followed by dorsoventral reconstruction from December 2008 to July 2011. Details of the modified technique were described and the patients' clinical information was retrospectively reviewed and analyzed. RESULTS: Significant improvements in neurological function were achieved in most of the patients. Local pain or radicular leg pain was relieved postoperatively. The mean operation time was 7.2 h, with an average blood loss of 2,300 ml. No major complications, instrumentation failure or local recurrence was found at the final follow-up. Five patients died of the disease during mean 14-month (3.0-23) follow-up. CONCLUSIONS: The modified TES with a single posterior approach is feasible, safe and effective for thoracolumbar spine tumors.
PURPOSE: The objectives of this study were to describe our surgical management with a modified total en bloc spondylectomy (TES) and to evaluate the clinical effects in patients with thoracolumbar tumors. METHODS: Sixteen consecutive patients with thoracolumbar neoplasms underwent a modified TES via single posterior approach followed by dorsoventral reconstruction from December 2008 to July 2011. Details of the modified technique were described and the patients' clinical information was retrospectively reviewed and analyzed. RESULTS: Significant improvements in neurological function were achieved in most of the patients. Local pain or radicular leg pain was relieved postoperatively. The mean operation time was 7.2 h, with an average blood loss of 2,300 ml. No major complications, instrumentation failure or local recurrence was found at the final follow-up. Five patients died of the disease during mean 14-month (3.0-23) follow-up. CONCLUSIONS: The modified TES with a single posterior approach is feasible, safe and effective for thoracolumbar spine tumors.
Authors: Alexis Falicov; Charles G Fisher; Joe Sparkes; Michael C Boyd; Peter C Wing; Marcel F Dvorak Journal: Spine (Phila Pa 1976) Date: 2006-11-15 Impact factor: 3.468
Authors: Patrick C Hsieh; Khan W Li; Daniel M Sciubba; Ian Suk; Jean-Paul Wolinsky; Ziya L Gokaslan Journal: Neurosurgery Date: 2009-12 Impact factor: 4.654
Authors: John Street; Charles Fisher; Joseph Sparkes; Michael Boyd; Brian Kwon; Scott Paquette; Marcel Dvorak Journal: J Spinal Disord Tech Date: 2007-10
Authors: Daniel M Sciubba; Rafael De la Garza Ramos; C Rory Goodwin; Risheng Xu; Ali Bydon; Timothy F Witham; Ziya L Gokaslan; Jean-Paul Wolinsky Journal: Eur Spine J Date: 2016-06-04 Impact factor: 3.134