Posterior segmental spinal instrumentation (PSSI) with posterolateral decompression and debulking for metastatic thoracic and lumbar spine disease. Limitations of the technique.

Abstract:

:Twenty-five patients with metastatic thoracic and lumbar spine disease were initially treated by the authors with posterolateral debridement and decompression, along with posterior segmental spinal instrumentation. Ten patients had marked paresis, nine had signs of spinal cord or cauda equina compression without paresis, and all patients had pain severe enough to prevent sitting/standing/walking. The posterior approach was used in these patients instead of an anterior one because of translocation (4), three-column disease (16), three or more vertebral bodies involved (13), disease at two separate locations (2), and inability to tolerate an anterior approach (3). All patients had maintenance of spinal alignment for the length of follow-up or until their ultimate demise. Good pain relief was achieved in 19 of 25 patients. Six of ten patients with significant paresis recovered. Four patients developed recurrent spinal cord compression within 12 months postoperative from regrowth of tumor that was not controlled by radiotherapy or chemotherapy. Six of the 25 patients were not significantly palliated by the technique.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Bridwell KH,Jenny AB,Saul T,Rich KM,Grubb RL

doi

10.1097/00007632-198812000-00010

subject

Has Abstract

pub_date

1988-12-01 00:00:00

pages

1383-94

issue

12

eissn

0362-2436

issn

1528-1159

journal_volume

13

pub_type

杂志文章

相关文献

SPINE文献大全
  • A prospective follow-up study of low back pain in the community.

    abstract:STUDY DESIGN:Opportunistic prospective follow-up study. OBJECTIVE:To describe the natural history of low back pain in the community and to model the factors predictive of recovered versus persistent low back pain. SUMMARY OF BACKGROUND DATA:A two-phase questionnaire was mailed to adults in the Bradford Metropolitan H...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200008150-00013

    authors: Waxman R,Tennant A,Helliwell P

    更新日期:2000-08-15 00:00:00

  • Osteosarcoma of the mobile spine.

    abstract:STUDY DESIGN:Retrospective case series. OBJECTIVE:Our goal was to assess whether en bloc resection had an impact on survival. SUMMARY OF BACKGROUND DATA:Osteogenic sarcoma occurs rarely in the mobile spine, but when it does, the prognosis is poor. Wide resection is recommended for osteogenic sarcoma of the extremitie...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31822fb1a7

    authors: Schwab J,Gasbarrini A,Bandiera S,Boriani L,Amendola L,Picci P,Ferrari S,Boriani S

    更新日期:2012-03-15 00:00:00

  • The use of pedicle screw fixation to improve correction in the lumbar spine of patients with idiopathic scoliosis. Is it warranted?

    abstract:STUDY DESIGN:A retrospective assessment of coronal, sagittal, and axial correction using convex lumbar pedicle screw constructs compared with hook constructs in patients with idiopathic scoliosis. OBJECTIVE:To determine if pedicle screw constructs can improve coronal, sagittal, and axial correction without increased c...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199605150-00020

    authors: Hamill CL,Lenke LG,Bridwell KH,Chapman MP,Blanke K,Baldus C

    更新日期:1996-05-15 00:00:00

  • C5 Palsy After Cervical Spine Decompression: Topographic Correlation With C6 Chassaignac Tubercle?: A Fresh-Cadaveric Study of the Cervical Spine and Rediscussion of Etiological Hypotheses.

    abstract:STUDY DESIGN:Cadaveric study on fresh unprocessed, nonpreserved, undyed specimens, which has not previously been reported. OBJECTIVE:Our aim was to explore the possible topographic correlation of the C5 nerve root with regards to its course and regional relation to C6 Chassaignac tubercle. SUMMARY OF BACKGROUND DATA:...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003479

    authors: Rajabian A,Quraishi NA

    更新日期:2020-08-01 00:00:00

  • Differentiation of intervertebral notochordal cells through live automated cell imaging system in vitro.

    abstract:STUDY DESIGN:We demonstrated the differentiation of notochordal cells by direct observation using a live automated cell imaging system. We also hypothesized that notochordal cells have characteristics of chondrocyte-like cells. OBJECTIVE:To determine characteristics of notochordal cells by matrix protein expression an...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181b26ed1

    authors: Kim JH,Deasy BM,Seo HY,Studer RK,Vo NV,Georgescu HI,Sowa GA,Kang JD

    更新日期:2009-11-01 00:00:00

  • Functional outcome of surgically and conservatively managed dens fractures.

    abstract:STUDY DESIGN:Fifty-seven patients with dens fractures were identified from 1986 to 1996 at the authors' institution. Forty-six were available for reevaluation by two independent observers with a mean follow-up period of 26 months. OBJECTIVE:To determine by age and fracture type which treatment regimen provided the bes...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199809010-00006

    authors: Seybold EA,Bayley JC

    更新日期:1998-09-01 00:00:00

  • Measuring outcomes in back care.

    abstract:STUDY DESIGN:Narrative review. OBJECTIVE:Describe current issues of outcomes assessment in spine research, with a focus on their application to advocacy oriented research. SUMMARY OF BACKGROUND DATA:Outcomes measurement in back pain has advanced substantially over the past decade. METHODS:Qualitative assessment of o...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/BRS.0b013e318053d45f

    authors: Carey TS,Mielenz TJ

    更新日期:2007-05-15 00:00:00

  • Transoral anterior decompression and fusion of chronic irreducible atlantoaxial dislocation with spinal cord compression.

    abstract:STUDY DESIGN:In this study, 10 patients with chronic irreducible atlantoaxial dislocation were treated by transoral anterior decompression and fusion. OBJECTIVES:To examine the benefits of the transoral approach, the patients treated with this procedure were compared with the historical control subjects after 2 years ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199506000-00004

    authors: Subin B,Liu JF,Marshall GJ,Huang HY,Ou JH,Xu GZ

    更新日期:1995-06-01 00:00:00

  • Comparison of TLIF with rhBMP-2 versus no TLIF and higher posterolateral rhBMP-2 dose at L5-S1 for long fusions to the sacrum with sacropelvic fixation in patients with primary adult deformity.

    abstract:STUDY DESIGN:Comparvative case series. Data was prospectively entered and retrospectively analyzed. OBJECTIVE:To evaluate the need for distal lumbar interbody fusion when sufficient recombinant human bone morphogenetic protein-2 (rhBMP-2) is used posterolaterally at L5-S1 in long spinal constructs for adult deformity ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000045

    authors: Rahman RK,Buchowski JM,Stephens B,Dorward IG,Koester LA,Bridwell KH

    更新日期:2013-12-15 00:00:00

  • Anterior surgical management of single-level cervical disc disease: a cost-effectiveness analysis.

    abstract:STUDY DESIGN:Cost-effectiveness analysis with decision analysis and meta-analysis. OBJECTIVE:To determine the relative cost-effectiveness of anterior cervical discectomy with fusion (with autograft, allograft, or spacers), anterior cervical discectomy without fusion (ACD), and cervical disc replacement (CDR) for the t...

    journal_title:Spine

    pub_type: 杂志文章,meta分析

    doi:10.1097/BRS.0000000000000612

    authors: Lewis DJ,Attiah MA,Malhotra NR,Burnett MG,Stein SC

    更新日期:2014-12-01 00:00:00

  • Thoracic spondylitis from a mycotic (Streptococcus pneumoniae) aortic aneurysm: a case report.

    abstract:STUDY DESIGN:We report on a 54-year-old man with chronic lower back pain after recent streptococcus pneumoniae pulmonary infection, resulting in a mycotic aortic aneurysm and spondylodiscitis of the eighth vertebrae 6 months later. Successful surgical treatment and recurrence-free survival after 4 years are described. ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000137061.79898.8f

    authors: Englert C,Aebert H,Lenhart M,Solleder A,Nerlich M,Neumann C

    更新日期:2004-09-01 00:00:00

  • Perioperative Neurologic Complications in Adult Spinal Deformity Surgery: Incidence and Risk Factors in 564 Patients.

    abstract:STUDY DESIGN:Prognostic study-case controlled. OBJECTIVE:Describe the rate of neurologic complications in adult spinal deformity surgery and describe the effect of these complications on clinical outcomes. SUMMARY OF BACKGROUND DATA:The incidence of neurologic complications and the risk factors for neurologic complic...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001774

    authors: Kim HJ,Iyer S,Zebala LP,Kelly MP,Sciubba D,Protopsaltis TS,Gupta M,Neuman BJ,Mundis GM,Ames CP,Smith JS,Hart R,Burton D,Klineberg EO,International Spine Study Group (ISSG).

    更新日期:2017-03-15 00:00:00

  • Effect of nucleus replacement device properties on lumbar spine mechanics.

    abstract:STUDY DESIGN:A validated nonlinear three-dimensional finite element model of a single lumbar motion segment (L3-L4) was used to evaluate a range of moduli for ideally conforming nucleus replacement devices. OBJECTIVE:The objective of the current study was to determine the biomechanical effects of nucleus replacement t...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181af1d5a

    authors: Rundell SA,Guerin HL,Auerbach JD,Kurtz SM

    更新日期:2009-09-01 00:00:00

  • Family stature in idiopathic scoliosis.

    abstract::The standing heights of 40 children with scoliosis and 110 persons from their immediate families were compared with those of a group of 349 contemporary control subjects. Skeletal bone ages and puberty ratings did not differ from normal, but the children with scoliosis were found to be significantly taller than the co...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199301000-00004

    authors: Carr AJ,Jefferson RJ,Turner-Smith AR

    更新日期:1993-01-01 00:00:00

  • Effectiveness of Kinesio Taping in Patients With Chronic Nonspecific Low Back Pain: A Systematic Review With Meta-analysis.

    abstract:STUDY DESIGN:Systematic review. OBJECTIVE:To investigate the effects of Kinesio Taping (KT) in patients with nonspecific low back pain. SUMMARY OF BACKGROUND DATA:KT is widely used in patients with low back pain. METHODS:We conducted searches on PubMed, EMBASE, PEDro, SciELO, and LILACS up to February 26, 2018. We i...

    journal_title:Spine

    pub_type: 杂志文章,meta分析

    doi:10.1097/BRS.0000000000002756

    authors: Luz Júnior MAD,Almeida MO,Santos RS,Civile VT,Costa LOP

    更新日期:2019-01-01 00:00:00

  • Predicting long-term disability in low back injured workers presenting to a spine consultant.

    abstract::Low back pain (LBP) is the most common, costly, and disabling musculoskeletal condition. Although most LBP patients recover within two months, 2-3% eventually develop disabling chronic low back pain (DCLBP). Due to the prevalence of DCLBP problems, models have been developed to predict which acute low back pain patien...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199306150-00023

    authors: Lehmann TR,Spratt KF,Lehmann KK

    更新日期:1993-06-15 00:00:00

  • Posterior extensive simultaneous multisegment decompression with posterolateral fusion for cervical myelopathy with cervical instability and kyphotic and/or S-shaped deformities.

    abstract::From June 1978 to May 1988, posterior decompression with posterolateral fusion was performed at Tenri Hospital on 63 cases of cervical myelopathy with instability and/or malalignment including kyphotic and/or S-shaped deformities. Among 46 cases followed up for more than 1 year, 41 cases (89.1%) improved; 21 cases (45...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198911000-00006

    authors: Miyazaki K,Tada K,Matsuda Y,Okuno M,Yasuda T,Murakami H

    更新日期:1989-11-01 00:00:00

  • Obesity is associated with reduced disc height in the lumbar spine but not at the lumbosacral junction.

    abstract:STUDY DESIGN:Cross-sectional, community-based study. OBJECTIVE:To investigate the relationships between obesity, disc height, and low back pain in the lumbosacral spine. SUMMARY OF BACKGROUND DATA:Although obesity is a recognized risk factor for low back pain, our understanding of the mechanisms for this is limited. ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000411

    authors: Urquhart DM,Kurniadi I,Triangto K,Wang Y,Wluka AE,OʼSullivan R,Jones G,Cicuttini FM

    更新日期:2014-07-15 00:00:00

  • Is it possible to evaluate the parameters of cervical sagittal alignment on cervical computed tomographic scans?

    abstract:STUDY DESIGN:Retrospective study. OBJECTIVE:The purpose of this study was to analyze the relationship of the parameters of cervical sagittal alignment between those obtained from cervical CT and those obtained from radiography, as well as to determine which parameter would help predict physiological lordosis of the ce...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000281

    authors: Jun HS,Chang IB,Song JH,Kim TH,Park MS,Kim SW,Oh JK

    更新日期:2014-05-01 00:00:00

  • Posterior osteosynthesis of the atlas for nonconsolidated Jefferson fractures: a new surgical technique.

    abstract:STUDY DESIGN:Case report and surgical technique. OBJECTIVE:To describe a new technique to treat atlas burst fractures by selectively reconstructing the atlas from a posterior approach. SUMMARY OF BACKGROUND DATA:The two surgical techniques reported until now for stabilizing atlas burst fractures are associated with s...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318206cf63

    authors: Abeloos L,De Witte O,Walsdorff M,Delpierre I,Bruneau M

    更新日期:2011-09-15 00:00:00

  • Three-dimensional movements of the whole lumbar spine and lumbosacral joint.

    abstract::Knowledge of the normal movements of whole lumbar spine and lumbosacral joint is important for evaluating clinical pathologic conditions that may potentially produce unstable situations in these regions. At present there are few studies that report systemic three-dimensional movement analysis of these regions. The pur...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198911000-00020

    authors: Yamamoto I,Panjabi MM,Crisco T,Oxland T

    更新日期:1989-11-01 00:00:00

  • The prevalence of contraindications to total disc replacement in a cohort of lumbar surgical patients.

    abstract:STUDY DESIGN:This is a retrospective review of the epidemiology of contraindications to lumbar total disc replacement (TDR). OBJECTIVE:To define the prevalence of contraindications to lumbar total disc replacement in a cohort of patients undergoing lumbar surgery in the senior author's (F.P.C.) practice. SUMMARY OF B...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000144829.57885.20

    authors: Huang RC,Lim MR,Girardi FP,Cammisa FP Jr

    更新日期:2004-11-15 00:00:00

  • Hospital and Surgeon Variation in Patient-reported Functional Outcomes After Lumbar Spine Fusion: A Statewide Evaluation.

    abstract:STUDY DESIGN:Statewide retrospective cohort study using prospectively collected data from the Spine Care and Outcomes Assessment Program, capturing ∼75% of the state's spine fusion procedures. OBJECTIVE:The aim of this study was to estimate the variation in patient-reported outcomes (PROs) 1 year after elective lumbar...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/BRS.0000000000003299

    authors: Khor S,Lavallee DC,Cizik AM,Bellabarba C,Dagal A,Hart RA,Howe CR,Martz RD,Shonnard N,Flum DR

    更新日期:2020-04-01 00:00:00

  • Clinical and radiographic outcomes of anterior lumbar interbody fusion using recombinant human bone morphogenetic protein-2.

    abstract:STUDY DESIGN:A prospective, nonblinded, multicenter study of outcomes in patients undergoing single-level anterior lumbar discectomy and interbody fusion with InFUSE Bone Graft. OBJECTIVE:To determine the safety and effectiveness of InFUSE Bone Graft applied to an absorbable collagen sponge in anterior lumbar interbod...

    journal_title:Spine

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1097/00007632-200211010-00015

    authors: Burkus JK,Transfeldt EE,Kitchel SH,Watkins RG,Balderston RA

    更新日期:2002-11-01 00:00:00

  • Variability of somatosensory-evoked potentials in different stages of scoliosis surgery.

    abstract:STUDY DESIGN:A comparison of the latencies and amplitudes of the somatosensory-evoked potential in different stages of scoliosis surgery. OBJECTIVES:To investigate the normal variability of the somatosensory-evoked potential at different stages of scoliosis surgery and to improve the reliability of spinal cord monitor...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199909010-00009

    authors: Luk KD,Hu Y,Wong YW,Leong JC

    更新日期:1999-09-01 00:00:00

  • Discriminative and predictive validity of the scoliosis research society-22 questionnaire in management and curve-severity subgroups of adolescents with idiopathic scoliosis.

    abstract:STUDY DESIGN:Prospective cross-sectional measurement study. OBJECTIVE:To determine the ability of the Scoliosis Research Society (SRS)-22 questionnaire to discriminate among management and scoliosis severity subgroups and to correlate with internal and external measures of curve severity. SUMMARY OF BACKGROUND DATA:I...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181af28bf

    authors: Parent EC,Hill D,Mahood J,Moreau M,Raso J,Lou E

    更新日期:2009-10-15 00:00:00

  • Anterior plate stabilization for bursting teardrop fractures of the cervical spine.

    abstract::This report details eight patients who had bursting teardrop fractures of the cervical spinal column treated by decompressive vertebral corpectomy and anterior fusion with plate stabilization. The fracture involved C5 in six patients, C6 in one patient, and C7 in one patient. The neurologic deficit was complete in fiv...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198808000-00002

    authors: Cabanela ME,Ebersold MJ

    更新日期:1988-08-01 00:00:00

  • Relative versus absolute modulation of growth in the fusionless treatment of experimental scoliosis.

    abstract:STUDY DESIGN:Absolute and relative growth modulation of apical spinal segments were measured during creation and correction of an experimental scoliosis in a goat model. OBJECTIVE:To differentiate relative and absolute changes in growth on the concavity and convexity of an experimental scoliosis treated with anterior ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000227263.43060.50

    authors: Braun JT,Hines JL,Akyuz E,Vallera C,Ogilvie JW

    更新日期:2006-07-15 00:00:00

  • Effect of core stability exercises on feed-forward activation of deep abdominal muscles in chronic low back pain: a randomized controlled trial.

    abstract:STUDY DESIGN:A randomized controlled trial. OBJECTIVE:To investigate feed-forward activation or timing of abdominal muscle activation in response to rapid shoulder flexion after 8 weeks with core stability exercises, sling exercises, or general exercises in chronic nonspecific low back pain (LBP) patients. SUMMARY OF...

    journal_title:Spine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/BRS.0b013e318241377c

    authors: Vasseljen O,Unsgaard-Tøndel M,Westad C,Mork PJ

    更新日期:2012-06-01 00:00:00

  • Radiation exposure to the spine surgeon in lumbar and thoracolumbar fusions with the use of an intraoperative computed tomographic 3-dimensional imaging system.

    abstract:STUDY DESIGN:A prospective clinical research article. OBJECTIVE:The primary goals were to determine (1) radiation exposure to the spine surgeon with the use of an intraoperative 3-dimensional imaging system and (2) to define the safe distance from the computed tomographic scanner. SUMMARY OF BACKGROUND:Intraoperative...

    journal_title:Spine

    pub_type: 临床试验,杂志文章

    doi:10.1097/BRS.0b013e31825786d8

    authors: Abdullah KG,Bishop FS,Lubelski D,Steinmetz MP,Benzel EC,Mroz TE

    更新日期:2012-08-01 00:00:00