Surgery and subsequent rehabilitation for cervical spine tumours compressing neural structures
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2008, Vol 10, Issue 6
Abstract
Bone malignancies account for merely about 1.5% of all cancers, with a small percentage of these tumours developing in the cervical spine. However, the cervical spine is also the site of benign tumours and neoplasms involving not only bony tissue. Benign tumours do not metastasize but pose a threat to the spinal cord when located intrathecally. Even though such tumours do not represent malignancy, they are considered to be locally malignant. The most common cervical spine neoplasms are intradural tumours, usually extramedullary: neurofibromas, meningiomas or gliomas.Indications for surgery depend of the nature and location of the tumour and the consequences of tumour growth. Surgery is obviously necessary for intrathecal tumours compressing the spinal cord. The choice of surgical approach and manner of stabilisation depend primarily on the location of the lesion and the presence of spinal cord compression.Rehabilitation is indicated in all patients, but is particularly important, and at the same time difficult, when the growth of the tumour has resulted in neurological disturbances. The task is all the more difficult when in the presence of a massive and high spinal cord damage. Rehabilitation programmes should be designed individually for each patient and should account for the degree of paresis, stage of the underlying malignant disease, survival prognosis, disturbances in the function of other systems, apart from musculoskeletal apparatus, age of the patient, his or her commitment to treatment and other factors.The treatment of malignant neoplasms is usually associated with an unfavourable outcome. However, combination drug treatments, radiation therapy and surgery with subsequent rehabilitation will often prolong survival, ameliorate suffering and improve patients’ quality of life.
Authors and Affiliations
Jerzy E. Kiwerski
Keywords
Related Articles
- EP ID EP56868
- DOI -
- Views 105
- Downloads 0
Zasady leczenia nieoperacyjnego skolioz idiopatycznych Wskazówki oparte o zalecenia SOSORT 2006<br />
Wstęp. Skoliozy idiopatyczne, zdefiniowane jako skrzywienia kręgosłupa przekraczające 10° kąta Cobba, dotyczą 2-3% populacji dzieci i młodzieży, natomiast skrzywienia powyżej 20°, wymagające leczenia zachowawczego, obejm...
Rehabilitation of patients with trochanteric hip fractures treated surgically with an angular nail-plate
Background. The angular nail-plate is still one of the most common materials used in Poland to achieve union of the bone fragments in fractures of the proximal femur. The main goal of post-surgical rehabilitation is for...
Factors Influencing Bone Regenerate Healing in Distraction Osteogenesis
Background. The dynamics and effectiveness of new bone formation in the Ilizarov method varies according to different factors. Some of them may result in substantial prolongation of treatment time. The lengthening index...
Ruchomość stawów biodrowych u tancerzy. Doniesienie wstępne.
Wstęp. Celem niniejszej pracy była ocena wpływu tańca na ruchomość stawów biodrowych, a także ocena związku pomiędzy czynnymi ruchami w stawach biodrowych a urazowością u tancerzy, co może być istotne w planowaniu proces...
USEFULNESS OF CT SCANS AND RADIOGRAPHS IN THE ASSESSMENT OF CERVICAL SPINE INJURIES IN POLYTRAUMA PATIENTS - OWN EXPERIENCE
ABSTRACT INTRODUCTION This paper evaluates the usefulness of spiral CT and conventional radiographs in the assessment of cervical spine injuries in polytrauma patients. The data are used as a basis for determining a prec...