scholarly journals Paradigmaváltás a csontmetasztázisok sebészetében. II. Gerincmetasztázisok kezelése

2018 ◽  
Vol 159 (8) ◽  
pp. 297-302
Author(s):  
Áron Lazáry ◽  
Zsolt Szövérfi ◽  
Péter Pál Varga
Keyword(s):  
Minimally Invasive ◽  
Spinal Metastasis ◽  
Treatment Options ◽  
Surgical Techniques ◽  
Spinal Metastases ◽  
Treatment Method ◽  
Minimally Invasive Surgical ◽  
Published Evidence ◽  
Minimally Invasive Stabilization ◽  
Oncologic Treatment

Abstract: The incidence of spinal metastases is constantly growing, but due to the advancements in oncologic treatment methods, the survival and the quality of life of the patients are persistently improving. Choosing the optimal treatment method is essential, and several factors should be considered: type of the primary tumor, segmental stability, the symptoms caused by the metastasis and the general condition of the patient. Using modern radiotherapeutic methods combined with minimally invasive surgical techniques (minimally invasive stabilization, separation surgery) in the majority of patients permits adequate local control with low complication rate. In our review, we describe the state-of-the-art, modern spinal metastasis treatment options based on the recently published evidence. Orv Hetil. 2018; 159(8): 297–302.

scholarly journals Treatment Strategy for Metastatic Spinal Tumors: A Narrative Review

2020 ◽  
Vol 14 (4) ◽  
pp. 513-525
Author(s):  
Sam Yeol Chang ◽  
Sujung Mok ◽  
Sung Cheol Park ◽  
Hyoungmin Kim ◽  
Bong-Soon Chang
Keyword(s):  
Decision Making ◽  
Spinal Metastasis ◽  
Treatment Options ◽  
Survival Rates ◽  
Surgical Techniques ◽  
Treatment Modalities ◽  
Spinal Tumors ◽  
Clinical Practices ◽  
Minimally Invasive Surgical ◽  
Appropriate Treatment

Metastatic spinal tumors are common, and their rising incidence can be attributed to the expanding aging population and increased survival rates among cancer patients. The decision-making process in the treatment of spinal metastasis requires a multidisciplinary approach that includes medical and radiation oncology, surgery, and rehabilitation. Various decision-making systems have been proposed in the literature in order to estimate survival and suggest appropriate treatment options for patients experiencing spinal metastasis. However, recent advances in treatment modalities for spinal metastasis, such as stereotactic radiosurgery and minimally invasive surgical techniques, have reshaped clinical practices concerning patients with spinal metastasis, making a demand for further improvements on current decision-making systems. In this review, recent improvements in treatment modalities and the evolution of decision-making systems for metastatic spinal tumors are discussed.

Minimally Invasive Surgical Techniques to Treat Spine Infection S

1996 ◽  
Vol 27 (1) ◽  
pp. 183-199 ◽  
Author(s):  
Larry M. Parker ◽  
Paul C. McAfee ◽  
Ira L. Fedder ◽  
James C. Weis ◽  
W. Peter Geis
Keyword(s):  
Minimally Invasive ◽  
Surgical Techniques ◽  
Spine Infection ◽  
Minimally Invasive Surgical

Minimally Invasive Circumferential Spinal Decompression and Stabilization for Symptomatic Metastatic Spine Tumor

Neurosurgery ◽  
2010 ◽  
Vol 66 (3) ◽  
pp. E620-E622 ◽  
Author(s):  
Alexander Taghva ◽  
Khan W. Li ◽  
John C. Liu ◽  
Ziya L. Gokaslan ◽  
Patrick C. Hsieh
Keyword(s):  
Spinal Cord ◽  
Minimally Invasive ◽  
Spinal Cord Compression ◽  
Surgical Techniques ◽  
Cord Compression ◽  
Pedicle Screw Fixation ◽  
Lower Extremity Weakness ◽  
Hardware Failure ◽  
Minimally Invasive Surgical ◽  
Potential Benefits

Abstract OBJECTIVE Metastatic epidural spinal cord compression is a potentially devastating complication of cancer and is estimated to occur in 5% to 14% of all cancer patients. It is best treated surgically. Minimally invasive spine surgery has the potential benefits of decreased surgical approach–related morbidity, blood loss, hospital stay, and time to mobilization. CLINICAL PRESENTATION A 36-year-old man presented with worsening back pain and lower extremity weakness. Workup revealed metastatic adenocarcinoma of the lung with spinal cord compression at T4 and T5. INTERVENTION AND TECHNIQUE T4 and T5 vertebrectomy with expandable cage placement and T1–T8 pedicle screw fixation and fusion were performed using minimally invasive surgical techniques. RESULT The patient improved neurologically and was ambulatory on postoperative day 1. At the 9-month follow-up point, he remained neurologically intact and pain free, and there was no evidence of hardware failure. CONCLUSION Minimally invasive surgical circumferential decompression may be a viable option for the treatment of metastatic epidural spinal cord compression.

scholarly journals Cement leakage: safety of minimally invasive surgical techniques in the treatment of multiple myeloma vertebral lesions

2012 ◽  
Vol 21 (S1) ◽  
pp. 61-68 ◽  
Author(s):  
Giovanni Andrea La Maida ◽  
Laura Serena Giarratana ◽  
Alberto Acerbi ◽  
Valentina Ferrari ◽  
Giuseppe Vincenzo Mineo ◽  
...  
Keyword(s):  
Multiple Myeloma ◽  
Minimally Invasive ◽  
Surgical Techniques ◽  
Cement Leakage ◽  
Minimally Invasive Surgical
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