Spinal cord compression secondary to kyphosis associated with radiation therapy for metastatic disease.

Abstract:

:Three patients were treated for pathologic fractures of the thoracolumbar spine causing progressive neurologic deficit. An anterior decompression with partial removal of the diseased vertebra was performed with improvement of neurologic function in each patient. Active tumor was not found, but necrotic bone with collapse and secondary kyphosis were the causes of anterior compression of the spinal cord. In two patients, the spine was stabilized with an anterior fibular strut graft that initially provided stability; later collapse progressed and deformity recurred. In the third patient, stabilization was secured with internal fixation that has prevented a recurrent deformity. Late collapse of a vertebral body after irradiation for tumor may be secondary to necrosis resulting from tumor infiltration and/or radiotherapy. Anterior decompression and stabilization with adjunctive internal fixation can be beneficial in selected cases.

journal_name

Clin Orthop Relat Res

authors

Lord CF,Herndon JH

subject

Has Abstract

pub_date

1986-09-01 00:00:00

pages

120-7

issue

210

eissn

0009-921X

issn

1528-1132

pub_type

杂志文章
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    doi:

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    pub_type: 杂志文章

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    authors: Hoffer MM,Koffman M

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    pub_type: 杂志文章

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    pub_type: 临床试验,杂志文章

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    pub_type: 杂志文章

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    pub_type: 临床试验,杂志文章,多中心研究,评审

    doi:

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    doi:

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    doi:

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