Approach combined in thoracolumbar spine for tumors

Revista Cubana de Ortopedia y Traumatología

Candebat Rubio, Raúl¹  Mauri Pérez, Orestes¹  Rodríguez Albaladejo, Ricardo A¹  Sosa Carrasco, Madelín¹  Candebat Candebat, Raúl Rodulfo¹  Rajadel Alzuri, Rodrigo¹ 

[1] Hospital Clínico Quirúrgico Hermanos Ameijeiras, La Habana, Cuba

关键词: : spinal tumors;    anterior approach;    combined approach;   

DOI  :  

学科分类：生理学

来源: SciELO

【 摘 要 】

Introduction: the progress of imaging, the survival of oncology patient and the development of short instrumentations increased the interest by the use of combined approaches. Objective: to expose the experience of the Orthopedics service of "Hermanos Ameijeiras" Clinical Surgical Hospital in the combined approach of thoracolumbar spine. Description: authors present 5 cases presenting with tumoral processes of thoracolumbar segment using a combined approach, operated on above mentioned service from February, 2007 to May, 2011. Following variables were included: age, sex, and type of tumor. Pain was assessed (Denis) and the preoperative and postoperative neurologic status (Frankel), as well as the complications. Results: in patients aged under 50 there was predominance of female sex and of primary tumors: in preoperative period 4 patients had a C Frankel and in all of them it was possible to move to E. As regards the Denis pain between 3 and 4 moving to 0 and 1. Complications included graft luxation with a deep sepsis, as well as two dural sac tears. Conclusions: the combined approach is an advantageous and recommendable option for surgical treatment in spinal tumors.

【 授权许可】

CC BY-NC