One-stage combined posterior and anterior approaches for excising thoracolumbar and lumbar tumors: surgical and oncological outcomes

Spine
Yongcheng HuJun Miao

Abstract

Retrospective clinical and radiologic evaluation. To investigate the feasibility of a 1-stage combined posterior and anterior approaches for excising thoracolumbar and lumbar tumors with the patient lying in the lateral position. Traditional anteroposterior approaches for total spondylectomy require a 2-stage operation or changing the patient's position, with secondary sterilization in the one stage. So the surgical time, cost and trauma, as well as blood loss, would be increased. One-stage en bloc spondylectomy with the patient lying in the lateral position may be a good way for improving it. This study retrospectively reviewed 18 patients with thoracolumbar and lumbar spinal tumors who underwent spondylectomy. All patients were observed up, and their status was evaluated by clinical and imaging studies. Total en bloc spondylectomy was performed successfully in 15 patients, and 3 patients underwent bulk vertebrectomy. All patients were observed up for 18 months to 3 years (mean, 2 years). Posterior pedicle screw fixation and anterior intervertebral titanium mesh placement were stable in all patients, with satisfactory positions. Two patients with preoperative neurologic deficits recovered less than 3 weeks after surgery. One p...Continue Reading

Citations

Sep 14, 2012·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·Thomas GöslingTobias Hüfner
Aug 31, 2013·Der Orthopäde·C E HeydeU Weber
Mar 26, 2011·Sarcoma·Pavlos KatonisApostolos Karantanas
Feb 17, 2015·BioMed Research International·Juan WuJian-Ru Xiao
Jun 2, 2011·Case Reports in Medicine·Kalliopi AlpantakiPavlos Katonis
Jul 19, 2014·World Journal of Orthopedics·Yasuaki TokuhashiYasumitsu Ajiro
Jun 11, 2019·Orthopaedic Surgery·Deng-Xing LunYong-Cheng Hu
Dec 20, 2017·Spine Surgery and Related Research·Yasuaki TokuhashiMasashi Oshima

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