Results of neurosurgical treatment of the spine tumors

Eugene Slynko, Iyad Al-Kashkish, Anatoliy Pastushin

Abstract


Introduction. The immediate and long-term clinical results of patients’ treatment have been operated because of the spine tumors in 2003–2013 were analyzed.

Materials and methods. In the analysis 101 cases were included. Primary benign tumors of the spine were revealed in 25% cases, primary malignant tumors — in 57%, secondary metastatic tumors — in 19%.

Results. At malignant processes the quality of patients life in a month after surgery according to KPS was 40–60 points, at benign processes — 60–80 points. Comparing groups of patients with malignant tumors of the spine with intratumoral removal and an-bloc resection on the border with unaffected tissues we found that overall incidence of local recurrence decreased from 91 to 54%.

Conclusions. Radical resection of spinal tumor on the border with unaffected tissues increases lifespan and reduces frequency of relapses. Use of adequate stabilization of the spine contributed to a more complete rehabilitation of patients, improved quality of their life.

Keywords


tumors of the spine; neural structures compression; surgical treatment

References


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GOST Style Citations


1. Baaj A.A. Spine metastasis / A.A. Baaj, Z.L. Gokaslan // J. Neurosurg. Spine. — 2012. — V.17, N4. — P.269–272.

2. The postero-lateral approach to the mid-cervical spine for metastatic spinal tumors: technical report / N.A. Quraishi, T. Hammett, K.M. Salem, H. Mehdian // Acta Neurochir. (Wien). — 2013. — V.155, N5. — P.821–832.

3. Single-stage posterior decompression and stabilization for metastasis of the thoracic spine: prognostic factors for functional outcome and patients’ survival / S. Chong, S.H. Shin, H. Yoo, S.H. Lee, K.J. Kim, T.A. Jahng, H.S. Gwak // Spine J. — 2012. — V.12, N12. — P.1083–1092.

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5. Jandial R. Modified lateral extracavitary approach for vertebral column resection and expandable cage reconstruction of thoracic spinal metastases / R. Jandial, M.Y. Chen // Surg. Neurol. Int. — 2012. — N3. — P.136–139.

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Copyright (c) 2013 Eugene Slynko, Iyad Al-Kashkish, Anatoliy Pastushin

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