Abstract:
:An analysis of indications, techniques, results of stabilization and decompression of 100 consecutive spinal tumour cases was carried out. Localized metastatic disease is best operated anteriorly. Primary malignancies are best treated with en bloc resection. Pain relief in metastatic disease is achieved by rigid stabilization. The unstable spine secondary to benign or malignant disease often requires stabilization for alleviation of pain; 132 stabilization procedures were performed in 100 patients. There were nine benign and 91 malignant tumors including 71 metastatic. Indications for stabilization were pathological fracture or following decompression. Anterior approaches including implant stabilization were used in those with metastatic disease limited to one to two levels or where significant kyphosis existed. Posterolateral decompression with Luque rod stabilization was indicated where disease was more widespread. In metastatic disease acrylic cement was used both anteriorly and posteriorly together with implant stabilization. Eighty-one percent had good to excellent relief of pain; 68 patients had neurological deficits. Significant neurological return was achieved in 40% of posterior decompressions and 71% of anterior decompressions in metastatic disease. All patients with benign tumors have solid fusions. In malignant disease the use of cement provided stability without loss of fixation in 87 of 91 procedures. Complications were 4% infection and failure of two Harrington rods without wiring, one Luque rod and two anterior constructs. The average longevity of patients treated for metastatic disease was 11.3 months.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Kostuik JP,Errico TJ,Gleason TF,Errico CCdoi
10.1097/00007632-198803000-00006subject
Has Abstractpub_date
1988-03-01 00:00:00pages
250-6issue
3eissn
0362-2436issn
1528-1159journal_volume
13pub_type
杂志文章相关文献
SPINE文献大全abstract:STUDY DESIGN:Retrospective database analysis. OBJECTIVE:To evaluate outcomes of human immunodeficiency virus (HIV) positive patients after cervical spine surgery. SUMMARY OF BACKGROUND DATA:Highly active antiretroviral medications have qualitatively altered the natural history of HIV, thus increasing the number of HI...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001103
更新日期:2015-11-01 00:00:00
abstract:STUDY DESIGN:A case of a Chance fracture through an instrumented pedicle is presented. The radiographic and intraoperative findings and management of this complication are reported. OBJECTIVE:To increase awareness of the complications of transpedicular screw fixation and to suggest a form of management of this unusual...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199802010-00019
更新日期:1998-02-01 00:00:00
abstract:STUDY DESIGN:Prospective clinical study. OBJECTIVE:To assess Health-Related Quality of Life outcomes in patients undergoing surgery for spinal metastases. SUMMARY OF BACKGROUND DATA:Increasing life expectancy of patients with spinal metastases has resulted in greater interest in overall quality of life, including pai...
journal_title:Spine
pub_type: 临床试验,杂志文章
doi:10.1097/01.brs.0000245838.37817.40
更新日期:2006-11-15 00:00:00
abstract:STUDY DESIGN:A sample of 486 Helsinki City Council workers, 35 to 54 years of age, was examined twice at a 1-year interval. OBJECTIVES:To investigate the speed of repetitive arm motion for its ability to predict neck pain. SUMMARY OF BACKGROUND DATA:Psychomotor factors have been suggested to play a role in the etiolo...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199709150-00006
更新日期:1997-09-15 00:00:00
abstract:STUDY DESIGN:A systematic review of randomized controlled trials. BACKGROUND:Although several rehabilitation programs, physical fitness programs, or protocols regarding instruction for patients to return to work after lumbar disc surgery have been suggested, little is known about the efficacy of these treatments, and ...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/01.BRS.0000042520.62951.28
更新日期:2003-02-01 00:00:00
abstract:STUDY DESIGN:Multicenter, prospective analysis of consecutive patients with adult spinal deformity (ASD). OBJECTIVE:Identify age-related radiographical parameters associated with poor health-related quality of life (HRQOL) and treatment preferences for ASD. SUMMARY OF BACKGROUND DATA:Patients with ASD report discrepa...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000414
更新日期:2014-08-01 00:00:00
abstract:STUDY DESIGN:In vitro and in vivo study of a rat inflammatory pain model using nuclear factor-kappa B decoy. OBJECTIVES:To investigate transduction efficiency of nuclear factor-kappa B decoy into dorsal root ganglion, both in vivo and in vitro, and to assess the suppression of inflammatory pain by nuclear factor-kappa...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000248424.46652.67
更新日期:2006-12-01 00:00:00
abstract:STUDY DESIGN:This study assessed the value of using lateral radiographs in evaluating the optimal screw length in transarticular C1-C2 screw fixation. OBJECTIVES:To assess the reliability of the lateral radiograph in determining the optimal transarticular C1-C2 screw length. SUMMARY OF BACKGROUND DATA:Transarticular ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199810150-00009
更新日期:1998-10-15 00:00:00
abstract:STUDY DESIGN:Anulus fibrosus (AF) cells obtained from patients undergoing surgery were cocultured with macrophage-like cells and production of inflammatory mediators was analyzed by quantitative assay. OBJECTIVE:To investigate the role of macrophages in AF cell production of inflammatory mediators by cytokines stimula...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318182c35f
更新日期:2008-10-01 00:00:00
abstract:STUDY DESIGN:The mRNA expressions of cytokines and chemokines were assessed in herniated lumbar disc specimens. OBJECTIVES:To investigate whether the mRNAs of interleukin (IL)-1alpha, tumor necrosis factor (TNF)-alpha, RANTES, IL-8, IL-10, and transforming growth factor (TGF)-beta are expressed in surgically obtained ...
journal_title:Spine
pub_type: 临床试验,杂志文章
doi:10.1097/00007632-200205010-00005
更新日期:2002-05-01 00:00:00
abstract::A traditional teaching in orthopaedic surgery has been that, in cases of fusion for L4-5 discopathy or instability, one must include the lumbosacral joint. There is nothing in the literature to support this time-honored dictum. The senior author, among others, has rejected this concept; and, the authors are, therefore...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198904000-00022
更新日期:1989-04-01 00:00:00
abstract:STUDY DESIGN:Retrospective review of prospectively collected data. OBJECTIVE:The objective of this study was to evaluate outcomes between patients receiving LMWH vs. UH in a retrospective cohort of patients with spine trauma. SUMMARY OF BACKGROUND DATA:Although multiple clinical trials have been conducted, current gu...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003664
更新日期:2020-08-26 00:00:00
abstract:STUDY DESIGN:Kinematics of the upper cervical spine during head rotation were investigated using three-dimensional magnetic resonance imaging (MRI) in healthy volunteers. OBJECTIVES:To demonstrate in vivo intervertebral coupled motions of the upper cervical spine. SUMMARY OF BACKGROUND DATA:Although various in vivo a...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000116998.55056.3c
更新日期:2004-04-01 00:00:00
abstract::When the published data on the radial disc bulge in relation to the axial compression of the motion segment are compared to a simple mechanical model, it follows that an axial inward bulge of the vertebral endplates should occur during compression. The model predicts that the disc height at its center should remain pr...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198311000-00007
更新日期:1983-11-01 00:00:00
abstract:STUDY DESIGN:The relation between the rib head and the thoracic disc was investigated anatomically. OBJECTIVES:To clarify the necessity of rib head resection in thoracoscopic discectomy using the anterior approach. SUMMARY OF BACKGROUND DATA:When using the transthoracic anterior approach, the rib head must often be r...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000132516.03023.c4
更新日期:2004-08-01 00:00:00
abstract:STUDY DESIGN:Systematic review. OBJECTIVE:To review the evidence regarding the mechanism of action of mobilizations. SUMMARY OF BACKGROUND DATA:Spinal mobilizations-low velocity passive oscillatory movements-reduce spinal pain in some patient subgroups. Identifying patients likely to respond remains a challenge since...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0000000000001151
更新日期:2016-01-01 00:00:00
abstract:STUDY DESIGN:Retrospective case series. OBJECTIVE:To evaluate the accuracy of screw fixation using intraoperative three-dimensional fluoroscopy-based navigation (ITFN) and to assess the clinical outcomes of this treatment regimen. SUMMARY OF BACKGROUND DATA:The surgical management of symptomatic os odontoideum poses ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3182578fd8
更新日期:2012-10-01 00:00:00
abstract::Fourteen variations of posterior instrumentation were tested experimentally, using models based on polyester imitation vertebrae, to determine the most effective method for stabilization of a section of the spine following fracture and, in particular, pathologic fracture. The most rigid construction was a well-fitting...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198605000-00014
更新日期:1986-05-01 00:00:00
abstract:STUDY DESIGN:A prospective series of 15 consecutive adult patients with spinal deformity who underwent endoscopic transthoracic release with simultaneous posterior instrumentation while positioned prone. OBJECTIVES:To describe the technique and clinical results of endoscopic transthoracic release performed with the pa...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200009010-00017
更新日期:2000-09-01 00:00:00
abstract:STUDY DESIGN:This is a 3-year prospective study of juvenile low back pain (LBP). OBJECTIVES:To investigate persistence and change in LBP. SUMMARY OF BACKGROUND DATA:Earlier episodes of LBP are a strong risk factor for LBP in adults, while the persistence of LBP through adolescence is not known. METHODS:The material ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000143666.58758.8b
更新日期:2004-11-01 00:00:00
abstract::Six cases of spontaneous fracture of the odontoid process in rheumatoid arthritis are presented. Fifty-one patients with atlantoaxial subluxation in rheumatoid arthritis underwent surgery between 1981 and 1990. This included six patients (in 10%) who had subluxation accompanied by fracture of the odontoid without appa...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199210001-00016
更新日期:1992-10-01 00:00:00
abstract:STUDY DESIGN:Longitudinal prospective study on a sample of 41 consecutive disc prosthesis patients, covering a postoperative time period of at least 2 years. OBJECTIVES:To document the rotational and translational range of segmental motion of patients instrumented with ProDisc II prostheses in the lumbar spine and to ...
journal_title:Spine
pub_type: 临床试验,杂志文章
doi:10.1097/01.brs.0000224213.45330.68
更新日期:2006-07-01 00:00:00
abstract:STUDY DESIGN:Systematic review. OBJECTIVES:To review the various radiographic parameters currently used to assess traumatic thoracolumbar injuries, emphasizing the validity and technique behind each one, to formulate evidence-based guidelines for a standardized radiographic method of assessment of these fractures. SU...
journal_title:Spine
pub_type: 杂志文章,多中心研究,评审
doi:10.1097/01.brs.0000201261.94907.0d
更新日期:2006-03-01 00:00:00
abstract:STUDY DESIGN:Pain drawings were scored and their relationship to discographic pain responses was investigated. OBJECTIVES:The purpose of this study was to determine if there was a relationship between patients indicating pain in nonanatomic patterns on pain drawings (possibly suggestive of a tendency to overreport pai...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199503150-00015
更新日期:1995-03-15 00:00:00
abstract:STUDY DESIGN:Case report. OBJECTIVE:We reviewed the case of a 44-year-old woman who underwent long-segment fusion and an artificial disc replacement. SUMMARY OF BACKGROUND DATA:There have been many reported advantages and disadvantages of stopping the fusion at L5, with the theoretical benefits being preserved motion...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/01.brs.0000259211.22036.2a
更新日期:2007-04-01 00:00:00
abstract:STUDY DESIGN:Human lumbar functional spinal units (FSUs) were moved throughout their range of motion in sagittal and lateral bending while the dynamics of this movement were computed in vitro. Functional spinal units were tested intact and after subsequent discectomy and unilateral facetectomy. OBJECTIVE:To establish ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199712150-00007
更新日期:1997-12-15 00:00:00
abstract:STUDY DESIGN:In vitro wear testing of the Bryan Cervical Disc prosthesis was performed in a cervical spine simulator. The biologic response was assessed in chimpanzee and goat animal models. OBJECTIVE:Determine the wear characteristics of the Bryan disc. SUMMARY OF BACKGROUND DATA:Large joint arthroplasties fail most...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.BRS.0000092212.42388.79
更新日期:2003-10-15 00:00:00
abstract::This study performed a thorough review of the pertinent thoracic spine anatomy to determine the appropriate landmarks for extrapedicular screw placement and indentified the anatomic structures at risk; assessed the safety and accuracy of the newly proposed screw insertion technique; determined the stability and streng...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199309000-00018
更新日期:1993-09-15 00:00:00
abstract:STUDY DESIGN:Experimental biomechanics of multilevel segments with 0, 1, 2, and 3 vertebral levels of polymethylmethacrylate augmentation. OBJECTIVE:To compare multilevel spinal segments with different numbers (0, 1, 2, and 3) of vertebral levels augmented with polymethylmethacrylate. SUMMARY OF BACKGROUND DATA:The s...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000207466.40955.31
更新日期:2006-04-01 00:00:00
abstract:STUDY DESIGN:Systematic literature review and expert survey OBJECTIVE.: The aim of this study was to determine factors associated with neurologic improvement in patients with neurologic deficits secondary to metastatic epidural spinal cord compression (MESCC). Clear understanding of these factors will guide surgical de...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0000000000001827
更新日期:2016-10-15 00:00:00