Management strategies for tumors of the axis vertebra

Journal of Neurosurgery
J G Piper, A H Menezes

Abstract

Primary and metastatic tumors of the axis vertebra pose difficult surgical problems. The authors report 14 cases of patients with axis tumors who underwent surgery between 1970 and 1993. The eight male and six female patients ranged in age from 9 to 70 years (mean 46 years). Presenting symptoms and signs included pain in 12, myelopathy in nine, radiculopathy in four, and cranial nerve deficits in two patients. Preoperative instability of the cervical spine was present in eight patients. The goal of surgery was to achieve diagnosis, decompression, and stabilization; the choice of operative intervention was based on tumor location and patient prognosis. Six transoral-transpalatal resections, two lateral extrapharyngeal approaches, four posterolateral decompressions, and 11 dorsal decompressions were performed. Eleven fusion procedures were required to achieve spinal stability. Patients with aggressive tumors requiring concomitant radiotherapy underwent fusion using contoured loop instrumentation or methyl methacrylate, whereas those with benign lesions underwent fusion using traditional techniques. With maximum medical and surgical intervention, 10 patients are alive and their tumors are in remission. In eight of these 10 patient...Continue Reading

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Citations

Apr 11, 2008·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Arnold H Menezes
Jul 17, 2007·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·Dezso JeszenszkyJürgen Harms
Jan 8, 1999·Spine·W A Abdu, M Provencher
May 11, 2002·Spine·Mark H BilskyPatrick J Boland
Mar 26, 2003·Journal of Neurosurgery·Daryl R FourneyZiya L Gokaslan
Nov 24, 2005·Journal of Neurosurgery. Spine·Kristian AquilinaCatherine Keohane
Jan 21, 2014·Journal of Neurosurgery. Pediatrics·Arnold H Menezes, Raheel Ahmed
Oct 8, 2014·World Journal of Surgical Oncology·Jun QiaoYong Qiu
Feb 27, 2007·The Spine Journal : Official Journal of the North American Spine Society·Mehmet ZileliSedat Cagli
Aug 20, 2010·Journal of Surgical Oncology·Hua ZhouZhong-jun Liu
Sep 15, 2004·The Spine Journal : Official Journal of the North American Spine Society·Soichi OyaHiroshi Takahashi
Mar 5, 2010·Neurosurgery·Hugh D Moulding, Mark H Bilsky
Jan 6, 2015·Asian Spine Journal·Forhad Hossain Chowdhury, Mohammod Raziul Haque
Dec 30, 2017·BMC Musculoskeletal Disorders·Luca DenaroVincenzo Denaro
Jul 1, 2020·Clinical Spine Surgery : a Spine Publication·Jian YangJian-Ru Xiao
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Dec 21, 2005·Journal of Orthopaedic Surgery·K Y Fung, S W Law
Aug 14, 2019·Journal of Craniovertebral Junction and Spine·Tarush RustagiEhud Mendel

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Methods Mentioned

BETA
imaging techniques
biopsy
dissection
biopsies
surgical resection

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