Wyniki operacyjnego leczenia przerzutów nowotworów do części szyjnej kręgoslupa

Abstract

Author(s): TOMASZ MAZURKIEWICZ, PAWEL POLAK, JACEK GĄGALA

The spine is the most common location of neoplastic metastases. In the cervical spine they are diagnosed much less frequently than in the lumbar or thoracic spine. Metastases in the cervical spine cause pains, create a risk of a pressure upon the spinal cord. The objective of this study was the evaluation of the surgical treatment of patients with metastases to the cervical spine. 11 patients were treated, 6 women and 5 men, aged between 17 and 61. The most often diagnosis was a renal cancer metastasis – 4 persons and lung cancer metastasis – 3 persons. In case of 8 patients the vertebral body was destroyed, and in case of 3 patients – the spinous process and the vertebral arches. 2 patients exhibited a full pressure on the spinal cord, 9 patients had symptoms of a pressure on the roots. We excised the vertebral body in case of 8 patients, and the posterior vertebral elements in case of 3.-/- The patients survived from 2 weeks to 3 years. We observed a neurological improvement in case of 9 patients.<

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