ISSN:
0942-0940
Keywords:
Metastatic vertebral tumours
;
thoracolumbar spine
;
spinal cord compression
;
methylmetacrylate prothesis
;
Kempf's rods
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Summary The authors report their experience in the treatment of 15 cases in thoracolumbar metastases with spinal cord compression. A decompressive laminectomy was routinely performed and followed by a transversoarthropediculectomy. Most part of the neoplastic tissue was removed from the epidural space, vertebral body and retroperitoneal or retro-pleural areas. Complete decompression of the nervous elements was always achieved. Stabilization was obtained by replacement of the neoplastic vertebral body with a methylmetacrylate prothesis and eventually by Kempf s compression instrumentation. The surgical treatment was completed in a single stage operation, by a classical posterolateral approach. Orthopaedic, neurologic and oncologic advantages of this treatment are discussed.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF01418836
Permalink