Total spondylectomy in surgical treatment of primary and localized secondary tumors of the thoracic and lumbar spine
DOI:
https://doi.org/10.25305/unj.86575Keywords:
spine tumor, local growth control, oncological barrier, wide tumor resection, total spondylectomyAbstract
Effective treatment of primary and localized secondary tumors of thoracic and lumbar spine is one of complex problem in spinal surgery. Lack of surgical radicalism with leaving tumor fragment in situ due to problems of differentiation tumor and non-tumor tissue, absence of clear dissection plane are the main causes of high rate of local neoplastic recurrence, up to 54–89% according to literature data. Wide and marginal tumor resection with obeying principles of oncologic barriers and compartment is the only method of surgical prophylaxis of local recurrence. Development of total spondylectomy technique in surgical treatment of primary and localized secondary tumors of thoracic and lumbar spine is the way to achieve maximal control of aggressive spine tumors growth.
References
Zozulya YA, Slynko YI, Shamaev MI, Chebotareva LL, Chepkiy LP. Opukholi spinnogo mozga i pozvonochnika [Spinal cord tumors]. Ed. YA Zozulya. Kiev: Knyga-plyus;2010. Russian.
Gudushin AS. Differentsirovannaya khirurgicheskaya taktika pri opukholyakh pozvonochnika i spinnogo mozga (diagnostika, khirurgiya). [Differentiated surgical approach for spinal cord tumors] [dissertation]. Moscow, 2005. Russian.
Musaev ER. Pervichnyye opukholi pozvonochnika: obzor literatury [Primary spinal tumors:literature review]. Prakticheskaya onkologiya. 2010;11(1):19-24. Russian.
Pedachenko YG, Kushchayev SV, Bondarchuk OS, Avetisyan IL, Potapov AA. Punktsionnaya vertebroplastika pri metastaticheskom porazhenii tel pozvonkov [Puncture vertebroplasty in metastatic vertebral body tumours]. Visnyk SumDU. Seriya “Medytsyna”. 2009;1(2):112-2. Russian.
Lee CS, Jung CH. Metastatic spinal tumor. Asian Spine J. 2012 Mar;6(1):71-87. [CrossRef] [PubMed]
Mesfin A, El Dafrawy MH, Jain A, Hassanzadeh H, Kebaish KM. Total en bloc spondylectomy for primary and metastatic spine tumors. Orthopedics. 2015 Nov;38(11):e995-e1000. [CrossRef] [PubMed]
Ptashnikov DA. Rekonstruktivno-stabiliziruyushchiye vmeshatel’stva v kompleksnom lechenii opukholey pozvonochnika [Reconstructive-fixative surgery in complex treatment of spinal tumors] [dissertation]. Sankt-Petersburg;2006. Russian.
Suzuki M, Ohtori S, Inoue G. [et al.]. An experience with total en bloc spondylectomy of the lumbar spinal tumor – Limitations of a combined posterior and lateral approach. Chiba Med J. 2011;(87):245-51. Available at: http://mitizane.ll.chiba-u.jp/metadb/up/igakukai/87-6-245.pdf
Pedachenko EG, Hulchiy NV, Kushchayev SV, Kushchayeva ES, Stashuk AV. [Percutaneous vertebroplastic for thyroid spinal metastasis]. Ukrainian Neurosurgical Journal. 2005;(2):81-4. Russian.
Ardashev I.P. Total’naya spondilektomiya v lechenii opukholey pozvonochnika [Total spondylectomy in treatment of spinal tumors]. Spine Surgery. 2009;(1):49-56. Russian.
Slynko E, Al-Kashkish I, Pastushin A. Results of neurosurgical treatment of the spine tumors. Ukrainian Neurosurgical Journal. 2013;(4):12-7. [Abstract/Full Text]
Boriani S, Gasbarrini A. Point of View. SPINE. 2005;30(19):2227-9. [CrossRef] [PubMed]
Tomita K, Kawahara N, Murakami H, Demura S. Total en bloc spondylectomy for spinal tumors:improvement of the technique and its associated basic background. J Orthop Sci. 2006;(11):3-12. [CrossRef] [PubMed]
Rizvi SA. Surgical treatment primary and secondary:PMID tumors of the spine. Ukrainian Neurosurgical Journal. 2000;(4):146-54. Russian. [Abstract/Full Text]
Tomita K, Toribatake Y, Kawahara N, Ohnari H, Kose H. Total en bloc spondylectomy and circumspinal decompression for solitary spinal metastasis. Paraplegia. 1994;(32):36-6. [CrossRef] [PubMed]
Clarke MJ, Vrionis FD. Spinal tumor surgery: management and the avoidence of complications. Cancer Control. 2014;21(2):124-32. [PubMed]
Kaloostian PE, Zadnik PL, Etame AB, Vrionis FD, Gokaslan ZL, Scuibba DM. Surgical management of primary and metastatic spinal tumors. Cancer Control. 2014;21(2):133-9. [PubMed]
Wang JC, Boland P, Mitra N, Yamada Y, Lis E, Stubblefield M, Bilsky MH. Single-stage posterolateral transpedicular approach for resection of epidural metastatic spine tumors involving the vertebral body with circumferential reconstruction:results in 140 patients. J Neurosurg (Spine 1). 2004;(3):287-98. [CrossRef] [PubMed]
Fehlings MG, Rabin D. En bloc resection for metastatic spinal tumors:is it worth it? J Neurosurg Spine. 2010;(13):411-3. [CrossRef] [PubMed]
Katonis P, Datsis G, Karantanas A, Kampouroglou A, Lianoudakis S, Licoudis S, Papoutsopoulou E, Alpantaki K. Spinal osteosarcoma. Oncology. 2013:(7):199-208. [CrossRef] [PubMed]
Bohinski RJ, Rhines LD. Principles and techiques of en bloc vertebrectomy for bone tumors of the thoracolumbar spine:an overview. Neurosurg Focus. 2003;15(5):1-6. [PubMed]
Fidler MW. Anterior decompression and stabilization of metastatic spinal fractures. British Editorial Society of Bone and Joint Surg. 1986:(68-B):83-90. [CrossRef] [PubMed]
Liljenqvist U. Multilevel en bloc spondylectomy in malignant tumours of the spine:a technical note. Argospine News & J. 2011;23(4):149-53. Available at: http://www.argospine.org/argos-spine-news/anj-23-4.pdf
Williams R, Foote M, Deverall H. Strategy in the surgical treatment of primary spinal tumors. Global Spine J. 2012;2(4):249-66. [CrossRef] [PubMed]
Lu DC, Lau D, Lee JG, Chou D. The transpedicular approach compared with the anterior approach:an analysis of 80 thoracolumbar corpectomies. J Neurosurg Spine. 2010:(12):583-91. [CrossRef] [PubMed]
Sundaresan N, Steinberger AA, Moore F, Sachdev VP, Krol G, Hough L, Kelliher K. Indications and results of combined anterior-posterior approaches for spine tumor surgery. J Neurosurg. 1996;85(3):438-46. [CrossRef] [PubMed]
Luzatti A, Shah S, Alloisio M. Multilevel en bloc spondylectomy for tumors of the thoracic and lumbar spine is chalenging but rewarding. Clin Orthop Relat Res. 2015;473(3):858-67. [CrossRef] [PubMed]
Santiago-Dieppa DR, Hwang LS, Bydon A, Gokaslan ZL, McCarthy EF, Witham TF. L4 and L5 Spondylectomy for en bloc resection of giant cell tumor and review of the literature. EBSJ. 2014;5(2):151-7. [CrossRef] [PubMed]
Al-Khawaja D, Mahasneh T, Li J, Holmes S. Total En Bloc Spondylectomy for Lumbar Renal Cell Carcinoma and Review of the Literature. Open J Modern Neurosurg. 2014:(4):26-30. Available at: http://file.scirp.org/pdf/OJMN_2013122711453404.pdf
Matsumoto M, Watanabe K, Tsuji T, Ishii K, Nakamura M, Chiba K, Toyama Y. Late instrumentation failure after total en bloc spondylectomy. JNS. 2011;15(3):320-7. [CrossRef] [PubMed]
Fang T, Dong J, Zhou X, McGuire R.A. Jr, Li X. Comparison mini-open anterior corpectomy and posterior total en bloc spondylectomy for solitary metastases of the thoracolumbar spine. J Neurosurg Spine. 2012:(17):271-9. [CrossRef] [PubMed]
Disch A, Druschel C, Melcher L, Luzatti A, Schaser K. D. En-bloc spondylectomy for thoracolumbar primary tumours and solitary metastases of the spine. Argospine News & J. 2011;23(4):163-70. Available at: http://www.argospine.org/argos-spine-news/anj-23-4.pdf
Druschel C, Disch A, Melcher L, Engelhardt T, Luzatti A, Haas N.P, Shaser K.D. Surgical management of recurrent thoracolumbar spinal sarcoma with 4-level total en bloc spondylectomy:description of technique and report of two cases. Eur Spine J. 2012;(21):1-9. [CrossRef] [PubMed]
Li H, Gasbarrini A, Capuccio M, Terzi S, Paderni S, Mirabile L, Boriani S. Outcome of excisional surgeries for the patients with spinal metastases. Eur Spine J. 2009:(18):1423-1430. [CrossRef] [PubMed]
Yao KC, Boriani S, Gokaslan ZL, Sundaresan N. En bloc spondylectomy for spinal metastases: a review of techniques. Neurosurg Focus. 2003;15(5):26-30. [PubMed]
Davis JH. Anatomical classification and surgical considerations: primary spinal tumors. An overview. SA Ortho J. 2011;10(3):26-30. Available at: http://www.scielo.org.za/pdf/saoj/v10n3/v10n3a03.pdf
Boriani S, Bandiera S, Donthineni R, Amendola L, Capuccio M, De Iure F, Gasbarrini A. Morbidity of en bloc resections in the spine. Eur Spine J. 2010:(19):231-41. [CrossRef] [PubMed]
Cappuccio M, Gasbarrini A, Van Urk P, Bandiera S, Boriani S. Spinal metastasis:a retrospective study validating the treatment algorithm. Eur Review Med Pharmacol Sci. 2008:(12):155-60. [PubMed]
Gasbarrini A, Simoes C. E, Amendola L, Bandiera S, Brodano G. B, Cappuccio M, Boriani S.Influence of a thread wire saw guide and spinal cord protector device in «en bloc» vertebrectomies. J Spin Disord Tech. 2012;25(2):7-12. [CrossRef] [PubMed]
Demura S, Kawahara N, Murakami H, Nambu K, Kato S, Yoshioka K, Okayama T, Tomita K. Surgical site infection in spinal metastasis(risk factors and countermeasures). Spine J. 2015;34(6):635-9. [CrossRef] [PubMed]
Hayashi H, Murakami H, Demura S, Kato S, Yoshioka K, Shinmura K, Yokogawa N, Ishii T, Fang X, Shirai T, Tsuchiya H. Surgical site infection after total en bloc spondylectomy: risk factors and the preventive new technology. Spine J. 2015;15(1):132-7. [CrossRef] [PubMed]
Salame K, Regev G, Keynan O, Lidar Z. Total en bloc spondylectomy for vertebral tumors. IMAJ. 2015:(17):37-41. [PubMed]
Luzatti A, Shah S, Gagliano F, Perucchini G, Scotto G, Alloisio M. Multilevel en bloc spondylectomy for tumors of the thoracic and lumbar spine is chalenging but rewarding. Clin Orthop Relat Res. 2015;473(3):858-67. [CrossRef] [PubMed]
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Copyright (c) 2016 Vladimir Pyatikop, Iurii Babalian
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