Transpedicular Corpectomy in Minimally Invasive Surgery for Metastatic Spinal Cord Compression: A Single-Center Series.

Autor:	Reyes Soto G; Neurosurgical Oncology, Mexico's National Institute of Cancer, Tlalpan, MEX., Moreno DV; Neurosurgery, Universidad Nacional Autónoma de México, Coyoacán, MEX., Serrano-Murillo M; Neuro-oncology, National Institute of Oncology, Mexico, MEX., Castillo-Rangel C; Neurosurgery, Servicio of the 1ro de Octubre Hospital of the Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Instituto Politécnico Nacional, Mexico City, MEX., Gonzalez-Aguilar A; Neurointerventional Surgery, Hospital Universitario San Ignacio, Bogotá, COL., Meré Gómez JR; Physical Medicine and Rehabilitation, Clínica de la Columna Instituto Nacional de Rehabilitación, Mexico City, MEX., Garcìa Fuentes PI; Neurological Surgery, Hospital San Juan de Dios Guatemala, Guatemala, GTM., Cacho Diaz B; Neurological Surgery, Instituto Nacional de Cancerologia, Mexico City, MEX., Ramirez MJE; Neurological Surgery, Russian People's Friendship University, Moscow, RUS., Nikolenko V; Human Anatomy and Histology, I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), Moscow, RUS., Cherubin TM; Neurosurgery, Clinique Ngaliema, Kinshasa, COD., Amador Hernández MA; Orthopaedics, Hospital Central Militar - Traumatología y Ortopedia, Hospital General de Mexico Cirugía de Columna, Mexico City, MEX., Montemurro N; Neurosurgery, Azienda Ospedaliero Universitaria Pisana, Pisa, ITA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Sep 30; Vol. 16 (9), pp. e70503. Date of Electronic Publication: 2024 Sep 30 (Print Publication: 2024).
DOI:	10.7759/cureus.70503
Abstrakt:	Introduction The role of separation surgery in managing symptomatic spinal metastases has been increasing in recent years, and it represents a crucial part of the definitive management of this condition. Methods We report on a series of seven patients treated at the National Cancer Institute in Mexico using minimally invasive approaches to perform transpedicular corpectomy. The goal was to obtain a margin of tumor-free tissue, enabling the completion of oncological treatment with radiotherapy. Results We collected data from six cases. The mean age was 61.2 years. Surgical outcomes were good in 83.3% of patients. Ranging from minimally invasive instrumentations to total or partial corpectomies, these procedures achieved their intended function of generating healthy neural tissue free of tumor. This ensures that the radiation gradient does not affect this tissue. No surgical complications were reported. The objective of these surgeries was to establish a radiotherapy or radiosurgery regimen as soon as possible, thereby improving patients' quality of life (QoL). Conclusions Low-cost transpedicular corpectomy via minimally invasive surgery (MIS) is a safe and effective method that meets the goals of separation surgery. However, prospective studies are needed to directly compare open techniques with minimally invasive methods. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Ethics Committee of Instituto Nacional de Cancerología, Mexico City, Mexico issued approval Jan/2024. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Reyes Soto et al.)
Databáze:	MEDLINE
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