| Single-stage posterior spondylectomy, circumferential decompression and reconstruction using mesh cage for spinal tumors. | |
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MedLine Citation:
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PMID: 19848319 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To explore the feasibility and clinical results of circumferential decompression and three-column reconstruction through single-stage posterior transpedicular approach for spinal tumor treatment. METHODS: Totally, 24 patients with spinal tumor underwent tumor resection and spinal reconstruction through single-stage posterior transpedicular approach. Preoperatively, according to the Frankel classification, 12 patients were grade E, 9 grade D, and 3 grade C. Anterior column was reconstructed with non-expandable titanium cages. Posterior segmental instrumentation was used to maintain the stability of spine in all cases. Anterior and posterolateral fusion was performed with autograft and allogenic bone. The following data were followed up in these patients: deformity angle, local recurrence, neurological function, and spinal bony fusion. RESULTS: The average operating time and blood loss was 5.6 hours and 3,400 ml respectively. No intraoperative and postoperative complications were observed in this group. Postoperatively, 21 patients were Frankel grade E, 2 grade D, and 1 grade C. Four patients reported significant functional restoration and twenty patients reported complete resolution of pain. At follow-up (range, 6-42 months), implant failure or recurrent neurological symptoms was not found. CONCLUSIONS: The tumor resection and spinal reconstruction through single-stage posterior transpedicular approach is a safe and effective technique for the treatment of spinal tumor. It can fully decompress the neurological structures, correct the kyphosis, and achieve early weight-bearing. This technique can improve life quality for the patients with spinal tumor. |
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Authors:
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Yong Zhu; Hong Zhao; Giu-Xing Qiu; Jian-Guo Zhang; Ye Tian; Shu-Gang Li; Suo-Mao Yuan |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Chinese medical sciences journal = Chung-kuo i hsüeh k'o hsüeh tsa chih / Chinese Academy of Medical Sciences Volume: 24 ISSN: 1001-9294 ISO Abbreviation: Chin. Med. Sci. J. Publication Date: 2009 Sep |
Date Detail:
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Created Date: 2009-10-23 Completed Date: 2009-12-11 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9112559 Medline TA: Chin Med Sci J Country: China |
Other Details:
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Languages: eng Pagination: 172-7 Citation Subset: IM |
Affiliation:
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Department of Orthopedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Decompression, Surgical / methods* Female Humans Laminectomy / methods* Male Middle Aged Orthopedic Procedures / methods Reconstructive Surgical Procedures / methods Spinal Neoplasms / surgery* Surgical Mesh Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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