Compound osteosynthesis in the thoracic spine for treatment of vertebral metastases. Technical report.

Autor: Pait TG; Department of Neurosurgery, University of Arkansas for Medical Sciences, Little Rock 77025-7199, USA., de Castro I, Arnautovic KI, Borba LA
Jazyk: angličtina
Zdroj: Arquivos de neuro-psiquiatria [Arq Neuropsiquiatr] 2000 Mar; Vol. 58 (1), pp. 52-6.
DOI: 10.1590/s0004-282x2000000100008
Abstrakt: Metastases to vertebrae often cause bone destruction leading to instability and neural compression. Anterior surgical approaches allow tumor resection and direct neural decompression. For patients with a short life expectancy, vertebral body replacement with methyl-methacrylate polymerized in situ can be used for load sharing in the axial plane. Screws hung from the rod into the corpectomy site are incorporated into the acrylic cement. The technique described in this article allows for immediate spinal stabilization and provides a protective environment for the neural elements. All the patients tolerated the procedure well and were able to ambulation without an orthoses.
Databáze: MEDLINE