NDLI: Posterior transpedicular corpectomy and reconstruction of the axial vertebra for metastatic tumor.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Ames, Christopher P. Wang, Vincent Y. Deviren, Vedat Vrionis, Frank D.
Description	Country affiliation: United States Author Affiliation: Ames CP ( UCSF Spine Center and Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco, California 94143, USA. amesc@neurosurg.ucsf.edu)
Abstract	Management of metastatic disease is a significant challenge in modern spinal surgery. Previously, radiation therapy alone was the most commonly employed treatment. Recent data, however, suggest that surgical decompression in addition to radiation therapy improves functional recovery compared with radiation therapy alone. Metastatic disease most commonly affects the thoracic spine. Over the past decade surgical treatment has changed significantly for thoracic disease, shifting from transthoracic resection and reconstruction to single-stage posterolateral approaches that allow transpedicular resection and reconstruction. In posterolateral approaches, patients are spared the morbidity associated with transcavitary approaches while receiving the benefit of radical resection and circumferential reconstruction in a single-stage procedure. The authors report 3 cases in which a similar posterior transpedicular technique, adapted for the cervical spine, was used for intralesional resection of metastatic tumors of the axis.
File Format	HTM / HTML
ISSN	15475654
Issue Number	2
Volume Number	10
e-ISSN	15475646
Journal	Journal of Neurosurgery: Spine
Language	English
Publisher	American Association of Neurological Surgeons
Publisher Date	2009-02-01
Publisher Place	United States
Access Restriction	Subscribed
Subject Keyword	Discipline Neurosurgery Axis Carcinoma, Renal Cell Surgery Carcinoma Spinal Neoplasms Secondary Adult Breast Neoplasms Pathology Therapy Colonic Neoplasms Female Humans Kidney Neoplasms Male Middle Aged Radiotherapy Case Reports Journal Article
Content Type	Text
Resource Type	Case study Article
Subject	Neurology Neurology (clinical) Surgery

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