Metastases in the cervical spine from primary head and neck cancers: current concepts of diagnosis and management.

Autor: Colbert SD; Dept of Oral and Maxillofacial Surgery, Queen Alexandra Hospital, Cosham, Portsmouth PO6 3LY. Electronic address: serryth@yahoo.com., Ramakrishna S; Department of Spinal Surgery, Queen Alexandra Hospital, Cosham, Portsmouth PO6 3LY. Electronic address: Sush.ramakrishna@porthosp.nhs.uk., Harvey JR; Department of Spinal Surgery, Queen Alexandra Hospital, Cosham, Portsmouth PO6 3LY. Electronic address: Jason.harvey@porthosp.nhs.uk., Brennan PA; Queen Alexandra Hospital, Cosham, Portsmouth PO6 3LY. Electronic address: peter.brennan@porthosp.nhs.uk.
Jazyk: angličtina
Zdroj: The British journal of oral & maxillofacial surgery [Br J Oral Maxillofac Surg] 2017 Feb; Vol. 55 (2), pp. 168-172. Date of Electronic Publication: 2016 Nov 16.
DOI: 10.1016/j.bjoms.2016.10.012
Abstrakt: Vertebral metastases from primary head and neck cancers are uncommon, and so there are no clear guidelines about management. The spinal cord can be compressed by a vertebral fracture or invasion of a tumour, and may present as an oncological and spinal emergency. The goals of treatment are to relieve pain and maintain neurological function. However, surgical treatments in this group of patients have not been defined, and primary operative treatment of spinal metastases remains controversial. Here we discuss their contemporary management. Surgical options should be considered for treatment to achieve stability of the spine, relieve pain, and preserve neurological function in certain cases.
(Copyright © 2016 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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