PMID: 8948263Oct 1, 1996Paper

Surgical palliation of symptomatic spinal metastases

Acta Orthopaedica Scandinavica
C Olerud, B Jónsson

Abstract

Spinal metastases are common in malignant disease. For selected patients with severe pain or neurological dysfunction, surgical treatment offers valuable palliation. During the last few years, we have treated between 100 and 120 patients annually with spinal metastases at the Department of Orthopedics, Uppsala University Hospital, Uppsala, Sweden. A detailed preoperative analysis is mandatory for optimal patient selection. Preoperative embolization of spinal metastases of renal cell carcinoma minimizes the peroperative blood loss. Most cervical spinal metastases are best treated via an anterior approach with vertebral body resection and primary reconstruction of the anterior column. Most thoracic or lumbar spinal metastases are best treated via a posterior approach with decompression and stabilization, using a transpedicular fixation device. However, patients with an expected survival exceeding 6-12 months, a secondary reconstruction of the anterior column should be considered.

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Citations

Jul 1, 2005·World Journal of Urology·Shomik SenguptaHorst Zincke
Oct 11, 2005·Archives of Orthopaedic and Trauma Surgery·T ErnstbergerW Schultz
Feb 14, 2012·Archives of Orthopaedic and Trauma Surgery·So KatoKiyofumi Yamakawa
Jan 24, 2002·Spine·Hans Roland DürrHans Jürgen Refior
Oct 23, 2013·Annals of Surgical Oncology·P E KaloostianZ L Gokaslan
May 4, 2010·Journal of Neurosurgery. Spine·Lissa PeelingDaryl R Fourney
Feb 9, 2006·Neurosurgical Focus·R F Heary, C M Bono
Aug 25, 2004·Neurosurgical Focus·Paul KlimoMeic H Schmidt
Sep 30, 2005·Neurosurgical Focus·Alan T VillavicencioJ Patrick Johnson
Oct 7, 1998·Journal of Neurosurgery·Z L GokaslanR Sawaya
Dec 14, 2004·Cancer·Yvette M van der LindenUNKNOWN Dutch Bone Metastasis Study Group
Nov 26, 2009·Spine·Michael G FehlingsFrank D Vrionis
Sep 29, 2004·Neurosurgery Clinics of North America·Adam S Wu, Daryl R Fourney
Sep 29, 2004·Neurosurgery Clinics of North America·Paul KlimoRichard G Fessler
Sep 29, 2004·Neurosurgery Clinics of North America·Paul KlimoMeic H Schmidt
Mar 29, 2006·The Journal of Bone and Joint Surgery. British Volume·K SinghJ G Heller
Apr 25, 2012·Annals of the Royal College of Surgeons of England·H MajeedD Calthorpe

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