PMID: 20646569Jul 22, 2010Paper

Surgical treatment for subaxial cervical spine metastatic tumor

Zhonghua yi xue za zhi
Jun QianGui-xing Qiu

Abstract

To explore the surgical treatment method and outcome for subaxial cervical spine metastatic tumor. We retrospectively analyzed 7 cases of subaxial cervical spine metastatic tumor treated at our hospital between 2002 and 2007. There were 3 male and 4 female patients. The primary lesions included 1 lung cancer, 1 renal cancer, 1 liver cancer, 2 gastric cancers and 2 breast cancers. All cases were treated with anterior vertebrectomy, reconstruction of cervical spine stability with mesh cage and plate fixation. Preoperative and 3-month postoperative VAS scores of neck pain and neurological status of Frankel classification were analyzed statistically. Cervical spine stability was observed by radiography during follow-up. The preoperative and postoperative VAS scores of neck pain were 7.4 +/- 0.8 and 1.8 +/- 1.2 respectively. There was obvious statistical difference between two scores (t = 15.11, P = 0.000). The post-operative neurological status of Frankel classification improved by one to two grades. The mean follow-up period was 18 months except for one patient dying from multiple organ failure at 9 months post-operation. Radiology showed satisfactory cervical spine stability during follow-up. For treating subaxial cervical spine ...Continue Reading

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