Taktyka postępowania operacyjnego w przerzutach nowotworów do kręgoslupa

Abstract

Author(s): TOMASZ MAZURKIEWICZ

Bone metastases are common in the spine, often resulting in severe pain. Risk of the cord and roots compression is high. It has been proven that only early, prompt surgical treatment might prevent neurological deterioration. Even the first clinical symptoms are indication for immidiate surgery. Other urgent indications include: vertebral fracture, destruction of the posterior wall and pediculum. Operative treatment depends on the location of metastases. The anterior approach is always chosen in the cervical area. In the thoraco-lumbar segments selection of the approach is based on the localisation and morphology of the metastases. If the prognosis seems to be fair the anterior or posterior decompression alone might be sufficient. Breast cancer metastases should be resected from the anterior approach.

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Editors List

  • Osamu Tanaka

    Osamu Tanaka
    Assistant Professor,
    Department of Radiation Oncology
    Asahi University Hospital
    Gifu city, Gifu, Japan

  • Maher Abdel Fattah Al-Shayeb

    Department of Surgical Sciences, Ajman University, UAE

  • Andrzej Zdziennicki

    Institute of Gynecology and Obstetrics, Medical University of Lodz, I Clinic of Gynecology and Gynecological Oncology (Lodz, Poland)

  • Krzysztof Urbanski

    Head of the Oncology Gynecology Clinic, Oncology Center - Instytut im. Maria Sklodowska Curie, Department in Krakow (Krakow, Poland)

  • Andrzej Szawlowski

    Klinika Nowotworow Gornego Odcinka Uklad Digestii, Oncology Center - Institute (Warsaw, Poland)