L5 vertebrectomy for the surgical treatment of tumoral and traumatic lesions of L5 vertebra.

Orthopedic Reviews
Tuncay KanerAli Fahir Ozer

Abstract

We retrospectively reviewed the clinical characteristics and the surgical results of seven patients treated with L5 vertebrectomy. The pathologies, clinical characteristics, preoperative and postoperative radiological findings, surgical techniques, and instrumentation for seven patients operated on between 1998 and 2009 are presented in this article. Biopsies were performed on all patients except those involving trauma. Patients were followed up at three-month intervals in the first year, at 6-month intervals in the second year, and on a regular basis afterward. One patient had a traumatic L5 burst fracture; the other six had tumoral pathologies in the L5 vertebrae. One tumoral lesion was a chordoma, another was a hemangioma, and the remaining four were metastatic lesions. Radiotherapy and chemotherapy were performed for the metastatic tumor patients during the postoperative period. Patients with renal cancer and chordoma survived for 3 years; patients with lung cancer and bladder cancer survived for 1 year; and patients with breast cancer survived for 16 months. The lumbosacral region presents significant stabilization problems because of the presence of sacral slope. In our opinion, if the lesion involves only the L5 vertebra...Continue Reading

Citations

Jan 25, 2014·Current Osteoporosis Reports·Julie A Sterling, Scott A Guelcher
Jul 25, 2017·International Orthopaedics·Belal ElnadyGalal Zaki Said
Oct 8, 2020·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Daniel D'AquinoNasir A Quraishi

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BETA
X-ray
biopsies

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