An Evaluation of Spinal Deformity in Metastatic Breast Cancer
| Autor: | Kim W. Hammerberg, Ronald L. DeWald, Halldór Jónsson, Paul L. Asdourian, Wolfgang Rauschning, Steve Mardjetko |
|---|---|
| Rok vydání: | 1990 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry General surgery Magnetic resonance imaging medicine.disease Metastatic breast cancer Sagittal plane medicine.anatomical_structure Breast cancer medicine Deformity Spinal deformity Etiology Surgery Spinal canal Neurology (clinical) Radiology medicine.symptom business |
| Zdroj: | Journal of Spinal Disorders. 3:119 |
| ISSN: | 0895-0385 |
| DOI: | 10.1097/00002517-199006000-00003 |
| Popis: | Between October 1984 and January 1988 31 magnetic resonance (MR) imaging studies were performed on 27 patients with metastatic vertebral breast cancer (MVBC). The MR images were reviewed to determine the extent and type of sagittal spinal deformity, and whether spinal canal compromise was present. Adjunct studies were compared to determine the pathogenesis of spinal deformity and the etiology of spinal canal compromise. An analysis of the data revealed that a consistent pattern of sagittal spinal deformity exists with MVBC, and a classification system was developed to describe the stages of vertebral deformity. Criteria are suggested for identifying metastatic spinal instability. A protocol is presented for treating patients with metastatic spinal involvement. By understanding the natural history of metastatic spinal deformity, instability and spinal canal compromise can be recognized and treated early, before the onset of progressive deformity and neurologic sequelae. |
| Databáze: | OpenAIRE |
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