NDLI: Tratamiento quirúrgico de metástasis vertebral. Experiencia en el Hospital Juárez de México

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Tratamiento quirúrgico de metástasis vertebral. Experiencia en el Hospital Juárez de México

Content Provider	Semantic Scholar
Author	Torre-González, Diego Martín De La Aboharp-Hasan, Ziad Castañón, Rusbell-Maza Pérez-Meave, José Adolfo
Copyright Year	2002
Abstract	Summary Introduction: The metastasis of carcinomas is injurious prin- cipally to the axial skeleton and lower limbs. The vertebral column is affected in 69% of patients. Metastasis in the vertebral column have a special field, due to the functional alterations that cause it. Generally, the intra- osseous disease causes pathologic fractures, vertebral in- stability, and neurologic compression, causing pain. Objective: To value the best approach and manner for spi- nal stabilization in metastatic carcinoma disease. Treatment must be applied for each patient by different specialists for maximum benefit. The study shows the experience in 15 pa- tients with toracolumbar metastasis in the spine. Material and methods: This study shows the experience in 15 patients with toracolumbar metastasis in the spine. The study was conducted in the in Orthopedics, Oncology, Gyne- cology, Urology and Neurology Service of the Hospital Jua- rez de Mexico, SSA, from January 1998 to December 2000. This surgical treatment was directed by anterior, posterior, or combined management. Results: In 13 patients, we utilized decompression and sta- bilization by anterior via of surgery; in eight patients, we used autogenous bone, in five patients, methyl metachrylate, and two patients, posterior surgery, when observed more than two vertebral lesions. All patients referred lees pain immediately after surgery. Discussion: Vertebral column surgery is preferable to ante- rior surgery because the lesion is always found in the verte- bral body. Resection is easin and completely avoids bleeding in surgery. In anterior surgery, we can effect liberation, re- section of the lesion, and stabilization.
Starting Page	26
Ending Page	30
Page Count	5
File Format	PDF HTM / HTML
Volume Number	70
Alternate Webpage(s)	http://www.medigraphic.com/pdfs/circir/cc-2002/cc021e.pdf
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article

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