SURGICAL TREATMENT İN METASTATIC TUMORS OF SPINE
Journal Title: Journal of Turkish Spinal Surgery - Year 1994, Vol 5, Issue 3
Abstract
Most of the spinal tumors are metastatic tumors. These require close follow-up and exact timing for surgery since they could cause destruction of vertebral body, thus creating instability. We operated 15 cases with metastatic tumors of spine in Orthopaedics and Traumatology Department of Gülhane Military Medicai Academy betvveen 1988 and 1994. Average age of the patients was 45 (range: 20-63). 4 of the cases were female and 11 were male. Average fol-low-up period was 3 years. The surgical intervention to this kind of patients shouid not be much aggressive. Stabilization and decompres-sion vvithout fusion is satisfactory especiaiiy in the patients with multible metastasis. We found it noticable that the early loosening of transpedicular screws applied close to target vertebral body could be seen at the patients un-der radiation therapy. İt is more saf e to keep the fixation long enough in this particular situation. The histopathological diagnosis of primary origin of the metastatic foci were as follows in our cases: Breast cancer, hypernephroma, plasmocytoma, renal celi ca., lung cancer and adeno ca. We determined the primary pa-thology of 3 cases with surgery. Oncological treatment must be applied together with the surgical treatment in the metastatic cases. The aim of the surgical treatment is; to prevent medullary compromise, to cease pain vvith stabilization, to aug-. ment the effect of chemotherapy and radioterapy by way of elimination of tumor and to enable an increased life standart to the patient.
Authors and Affiliations
Mehmet ALTINMAKAS, Can SOLAKOĞLU, V. KIRDEMİR, M. YAMAN
Keywords
Related Articles
- EP ID EP676292
- DOI -
- Views 137
- Downloads 0
THORACIC SPINE MIDLINE INJURY WITHOUT MOTOR DEFICIT AFTER STABBING
Spinal cord injuries after stabbing are rare, and incomplete neurological motor deficits occur in most cases due to a partial incision. In this case report, we describe a 32-year-old man who presented in our emergency de...
SCHOOL SCREENING OF ADOLECENT IDIOPATHIC SCOLIOSIS IN 7928 TURKISH CHILDREN
The aim of the present study was to identify the prevalence of adolescent idiopathic scoliosis in Kartal, which was a sub-province of Istanbul that could represent the overall demographic structure of Turkey that did not...
MORPHOMETRY OF THE LUMBAR SPINE IN TURKISH PEOPLE
Objectives: At present, due to advances in neuroradiological imaging techniques, computer-aided MRI measurements can be conducted on personal computers. In this way, we performed measurements of lumbar MR images digit...
NEW CONCEPTS IN THE TREATMENT OF POTT’S DISEASE
Tuberculosis is a chronic infectious disease ca-used by mycobacteria of the ""tuberculosis complex", mainly mycobacterium tuberculosis. The most frequ-ent site for extra pulmonary involvement of tuberculosis infection is...
RETROSPECTIVE ANALYSIS OF THE TREATMENT OF TUBERCULOSIS SPONDYLITIS IN GROWING SPINE
Objectives: The aim of this study to evaluate the results of the tuberculosis at growing spine Material and Method: Eighteen children under 12 years old were evaluated retrospectively in our study. The mean age at...