Minimally invasive solid long segmental fixation combined with direct decompression in patients with spinal metastatic disease

INTERNATIONAL JOURNAL OF SURGERY

卷:11

Article

Lin, Feiyue^1,3  Yamaguchi, Umio^1,2  Matsunobu, Tomoya¹  Kobayashi, Eisuke¹  Nakatani, Fumihiko¹  Kawai, Akira¹  Chuman, Hirokazu¹ 

[1] Natl Canc Ctr, Div Musculoskeletal Oncol, Tokyo 1040045, Japan

[2] Pharmaceut & Med Devices Agcy, Off Med Devices 2, Tokyo 1000013, Japan

[3] Fujian Med Univ, Dept Orthoped Surg, Fujian Prov Hosp, Fuzhou 350001, Peoples R China

关键词: Minimal invasion;    Long segmental fixation;    Spinal metastasis;    Decompression;    Palliative treatment;   

DOI  :  10.1016/j.ijsu.2012.12.016

来源: Elsevier

【 摘 要 】

This study seeks to discuss the efficiency of minimally invasive surgery of posterior long segmental fixation plus direct decompression in patients with spinal metastatic tumors. Twenty-five patients received minimally invasive surgery of long segmental fixation combined with direct decompression from posterior approach. Pain and neurologic improvement in these patients pre- and post operation were evaluated by Denis' Pain Scale and Frankel Score, respectively. Seventeen patients (68.0%) showed significant decreases in Denis' Pain score after surgery (p < 0.0001). Paralysis symptoms were improved in nineteen patients (76.0%). The Frankel Score exhibited significant difference between pre-operation and post-operation (p < 0.0001). Operation time and blood loss in this cohort were 324 +/- 90 min and 1047 +/- 730 ml, respectively. No fatal complications were observed as a result of surgery. In conclusion, minimally invasive surgery of posterior long segmental fixation combined with direct decompression is a safe and efficient strategy to release pain and improve neurological function in patients with spinal metastatic tumors. (C) 2012 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.

【 授权许可】

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