Modified total en bloc spondylectomy for thoracolumbar spinal tumors via a single posterior approach
Purpose The objectives of this study were to describe our surgical management with a modified total en bloc spondylectomy (TES) and to evaluate the clinical effects in patients with thoracolumbar tumors. Methods Sixteen consecutive patients with thoracolumbar neoplasms underwent a modified TES via s...
Gespeichert in:
| Veröffentlicht in: | European spine journal 2013-03, Vol.22 (3), p.556-564 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 564 |
|---|---|
| container_issue | 3 |
| container_start_page | 556 |
| container_title | European spine journal |
| container_volume | 22 |
| creator | Huang, Lin Chen, Keng Ye, Ji-chao Tang, Yong Yang, Rui Wang, Peng Shen, Hui-yong |
| description | Purpose
The objectives of this study were to describe our surgical management with a modified total en bloc spondylectomy (TES) and to evaluate the clinical effects in patients with thoracolumbar tumors.
Methods
Sixteen consecutive patients with thoracolumbar neoplasms underwent a modified TES via single posterior approach followed by dorsoventral reconstruction from December 2008 to July 2011. Details of the modified technique were described and the patients’ clinical information was retrospectively reviewed and analyzed.
Results
Significant improvements in neurological function were achieved in most of the patients. Local pain or radicular leg pain was relieved postoperatively. The mean operation time was 7.2 h, with an average blood loss of 2,300 ml. No major complications, instrumentation failure or local recurrence was found at the final follow-up. Five patients died of the disease during mean 14-month (3.0–23) follow-up.
Conclusions
The modified TES with a single posterior approach is feasible, safe and effective for thoracolumbar spine tumors. |
| doi_str_mv | 10.1007/s00586-012-2460-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3585635</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1318696408</sourcerecordid><originalsourceid>FETCH-LOGICAL-c569t-6c3d00c9dd73c1943c17d1615e1969cbc4e7bc0d3459e1e4c07141245ad9f4063</originalsourceid><addsrcrecordid>eNqNkU9rFTEUxYMo9ln9AG4k4MbN6M3k32QjSKlVqLjRdcgkmfdSMpMxmSm8b28e05YqCG5yF-d3TpJ7EHpN4D0BkB8KAO9EA6RtWiagoU_QjjDaNqBo-xTtQDFohCTqDL0o5QaAcAXiOTpr204wqfgOuW_JhSF4h5e0mIj9hPuYLC5zmtwxeruk8YiHlPFySNnYFNexN7nqYar4so4pF3wbDDa4hGkfPZ5TWXwO1WLmOSdjDy_Rs8HE4l_dzXP08_Plj4svzfX3q68Xn64by4VaGmGpA7DKOUktUawe0hFBuCdKKNtb5mVvwVHGlSeeWZCEkZZx49TAQNBz9HHLndd-9M76ackm6jmH0eSjTiboP5UpHPQ-3WrKOy4orwHv7gJy-rX6sugxFOtjNJNPa9GEkk4owaD7H5RJkB2XFX37F3qT1lzXt1GEdEycKLJRNqdSsh8e3k1An-rWW9261q1PdWtaPW8ef_jBcd9vBdoNKFWa9j4_uvqfqb8B3HK2ig</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1314118467</pqid></control><display><type>article</type><title>Modified total en bloc spondylectomy for thoracolumbar spinal tumors via a single posterior approach</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>SpringerLink Journals - AutoHoldings</source><creator>Huang, Lin ; Chen, Keng ; Ye, Ji-chao ; Tang, Yong ; Yang, Rui ; Wang, Peng ; Shen, Hui-yong</creator><creatorcontrib>Huang, Lin ; Chen, Keng ; Ye, Ji-chao ; Tang, Yong ; Yang, Rui ; Wang, Peng ; Shen, Hui-yong</creatorcontrib><description>Purpose
The objectives of this study were to describe our surgical management with a modified total en bloc spondylectomy (TES) and to evaluate the clinical effects in patients with thoracolumbar tumors.
Methods
Sixteen consecutive patients with thoracolumbar neoplasms underwent a modified TES via single posterior approach followed by dorsoventral reconstruction from December 2008 to July 2011. Details of the modified technique were described and the patients’ clinical information was retrospectively reviewed and analyzed.
Results
Significant improvements in neurological function were achieved in most of the patients. Local pain or radicular leg pain was relieved postoperatively. The mean operation time was 7.2 h, with an average blood loss of 2,300 ml. No major complications, instrumentation failure or local recurrence was found at the final follow-up. Five patients died of the disease during mean 14-month (3.0–23) follow-up.
Conclusions
The modified TES with a single posterior approach is feasible, safe and effective for thoracolumbar spine tumors.</description><identifier>ISSN: 0940-6719</identifier><identifier>EISSN: 1432-0932</identifier><identifier>DOI: 10.1007/s00586-012-2460-3</identifier><identifier>PMID: 22864795</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adult ; Aged ; Blood ; Bone surgery ; Female ; Humans ; Leg ; Lumbar Vertebrae - pathology ; Lumbar Vertebrae - surgery ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Neurosurgery ; Original ; Original Article ; Orthopedic Procedures - methods ; Pain ; Pain Measurement ; Reconstructive Surgical Procedures ; Retrospective Studies ; Spinal Neoplasms - pathology ; Spinal Neoplasms - surgery ; Spine ; Surgical Orthopedics ; Thoracic Vertebrae - pathology ; Thoracic Vertebrae - surgery ; Treatment Outcome ; Tumors</subject><ispartof>European spine journal, 2013-03, Vol.22 (3), p.556-564</ispartof><rights>Springer-Verlag 2012</rights><rights>Springer-Verlag Berlin Heidelberg 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c569t-6c3d00c9dd73c1943c17d1615e1969cbc4e7bc0d3459e1e4c07141245ad9f4063</citedby><cites>FETCH-LOGICAL-c569t-6c3d00c9dd73c1943c17d1615e1969cbc4e7bc0d3459e1e4c07141245ad9f4063</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3585635/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3585635/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27922,27923,41486,42555,51317,53789,53791</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22864795$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Huang, Lin</creatorcontrib><creatorcontrib>Chen, Keng</creatorcontrib><creatorcontrib>Ye, Ji-chao</creatorcontrib><creatorcontrib>Tang, Yong</creatorcontrib><creatorcontrib>Yang, Rui</creatorcontrib><creatorcontrib>Wang, Peng</creatorcontrib><creatorcontrib>Shen, Hui-yong</creatorcontrib><title>Modified total en bloc spondylectomy for thoracolumbar spinal tumors via a single posterior approach</title><title>European spine journal</title><addtitle>Eur Spine J</addtitle><addtitle>Eur Spine J</addtitle><description>Purpose
The objectives of this study were to describe our surgical management with a modified total en bloc spondylectomy (TES) and to evaluate the clinical effects in patients with thoracolumbar tumors.
Methods
Sixteen consecutive patients with thoracolumbar neoplasms underwent a modified TES via single posterior approach followed by dorsoventral reconstruction from December 2008 to July 2011. Details of the modified technique were described and the patients’ clinical information was retrospectively reviewed and analyzed.
Results
Significant improvements in neurological function were achieved in most of the patients. Local pain or radicular leg pain was relieved postoperatively. The mean operation time was 7.2 h, with an average blood loss of 2,300 ml. No major complications, instrumentation failure or local recurrence was found at the final follow-up. Five patients died of the disease during mean 14-month (3.0–23) follow-up.
Conclusions
The modified TES with a single posterior approach is feasible, safe and effective for thoracolumbar spine tumors.</description><subject>Adult</subject><subject>Aged</subject><subject>Blood</subject><subject>Bone surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Leg</subject><subject>Lumbar Vertebrae - pathology</subject><subject>Lumbar Vertebrae - surgery</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neurosurgery</subject><subject>Original</subject><subject>Original Article</subject><subject>Orthopedic Procedures - methods</subject><subject>Pain</subject><subject>Pain Measurement</subject><subject>Reconstructive Surgical Procedures</subject><subject>Retrospective Studies</subject><subject>Spinal Neoplasms - pathology</subject><subject>Spinal Neoplasms - surgery</subject><subject>Spine</subject><subject>Surgical Orthopedics</subject><subject>Thoracic Vertebrae - pathology</subject><subject>Thoracic Vertebrae - surgery</subject><subject>Treatment Outcome</subject><subject>Tumors</subject><issn>0940-6719</issn><issn>1432-0932</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkU9rFTEUxYMo9ln9AG4k4MbN6M3k32QjSKlVqLjRdcgkmfdSMpMxmSm8b28e05YqCG5yF-d3TpJ7EHpN4D0BkB8KAO9EA6RtWiagoU_QjjDaNqBo-xTtQDFohCTqDL0o5QaAcAXiOTpr204wqfgOuW_JhSF4h5e0mIj9hPuYLC5zmtwxeruk8YiHlPFySNnYFNexN7nqYar4so4pF3wbDDa4hGkfPZ5TWXwO1WLmOSdjDy_Rs8HE4l_dzXP08_Plj4svzfX3q68Xn64by4VaGmGpA7DKOUktUawe0hFBuCdKKNtb5mVvwVHGlSeeWZCEkZZx49TAQNBz9HHLndd-9M76ackm6jmH0eSjTiboP5UpHPQ-3WrKOy4orwHv7gJy-rX6sugxFOtjNJNPa9GEkk4owaD7H5RJkB2XFX37F3qT1lzXt1GEdEycKLJRNqdSsh8e3k1An-rWW9261q1PdWtaPW8ef_jBcd9vBdoNKFWa9j4_uvqfqb8B3HK2ig</recordid><startdate>20130301</startdate><enddate>20130301</enddate><creator>Huang, Lin</creator><creator>Chen, Keng</creator><creator>Ye, Ji-chao</creator><creator>Tang, Yong</creator><creator>Yang, Rui</creator><creator>Wang, Peng</creator><creator>Shen, Hui-yong</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20130301</creationdate><title>Modified total en bloc spondylectomy for thoracolumbar spinal tumors via a single posterior approach</title><author>Huang, Lin ; Chen, Keng ; Ye, Ji-chao ; Tang, Yong ; Yang, Rui ; Wang, Peng ; Shen, Hui-yong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c569t-6c3d00c9dd73c1943c17d1615e1969cbc4e7bc0d3459e1e4c07141245ad9f4063</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Blood</topic><topic>Bone surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Leg</topic><topic>Lumbar Vertebrae - pathology</topic><topic>Lumbar Vertebrae - surgery</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neurosurgery</topic><topic>Original</topic><topic>Original Article</topic><topic>Orthopedic Procedures - methods</topic><topic>Pain</topic><topic>Pain Measurement</topic><topic>Reconstructive Surgical Procedures</topic><topic>Retrospective Studies</topic><topic>Spinal Neoplasms - pathology</topic><topic>Spinal Neoplasms - surgery</topic><topic>Spine</topic><topic>Surgical Orthopedics</topic><topic>Thoracic Vertebrae - pathology</topic><topic>Thoracic Vertebrae - surgery</topic><topic>Treatment Outcome</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Huang, Lin</creatorcontrib><creatorcontrib>Chen, Keng</creatorcontrib><creatorcontrib>Ye, Ji-chao</creatorcontrib><creatorcontrib>Tang, Yong</creatorcontrib><creatorcontrib>Yang, Rui</creatorcontrib><creatorcontrib>Wang, Peng</creatorcontrib><creatorcontrib>Shen, Hui-yong</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European spine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Huang, Lin</au><au>Chen, Keng</au><au>Ye, Ji-chao</au><au>Tang, Yong</au><au>Yang, Rui</au><au>Wang, Peng</au><au>Shen, Hui-yong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Modified total en bloc spondylectomy for thoracolumbar spinal tumors via a single posterior approach</atitle><jtitle>European spine journal</jtitle><stitle>Eur Spine J</stitle><addtitle>Eur Spine J</addtitle><date>2013-03-01</date><risdate>2013</risdate><volume>22</volume><issue>3</issue><spage>556</spage><epage>564</epage><pages>556-564</pages><issn>0940-6719</issn><eissn>1432-0932</eissn><abstract>Purpose
The objectives of this study were to describe our surgical management with a modified total en bloc spondylectomy (TES) and to evaluate the clinical effects in patients with thoracolumbar tumors.
Methods
Sixteen consecutive patients with thoracolumbar neoplasms underwent a modified TES via single posterior approach followed by dorsoventral reconstruction from December 2008 to July 2011. Details of the modified technique were described and the patients’ clinical information was retrospectively reviewed and analyzed.
Results
Significant improvements in neurological function were achieved in most of the patients. Local pain or radicular leg pain was relieved postoperatively. The mean operation time was 7.2 h, with an average blood loss of 2,300 ml. No major complications, instrumentation failure or local recurrence was found at the final follow-up. Five patients died of the disease during mean 14-month (3.0–23) follow-up.
Conclusions
The modified TES with a single posterior approach is feasible, safe and effective for thoracolumbar spine tumors.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>22864795</pmid><doi>10.1007/s00586-012-2460-3</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0940-6719 |
| ispartof | European spine journal, 2013-03, Vol.22 (3), p.556-564 |
| issn | 0940-6719 1432-0932 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3585635 |
| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central; SpringerLink Journals - AutoHoldings |
| subjects | Adult Aged Blood Bone surgery Female Humans Leg Lumbar Vertebrae - pathology Lumbar Vertebrae - surgery Male Medicine Medicine & Public Health Middle Aged Neurosurgery Original Original Article Orthopedic Procedures - methods Pain Pain Measurement Reconstructive Surgical Procedures Retrospective Studies Spinal Neoplasms - pathology Spinal Neoplasms - surgery Spine Surgical Orthopedics Thoracic Vertebrae - pathology Thoracic Vertebrae - surgery Treatment Outcome Tumors |
| title | Modified total en bloc spondylectomy for thoracolumbar spinal tumors via a single posterior approach |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-09T10%3A58%3A02IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Modified%20total%20en%20bloc%20spondylectomy%20for%20thoracolumbar%20spinal%20tumors%20via%20a%20single%20posterior%20approach&rft.jtitle=European%20spine%20journal&rft.au=Huang,%20Lin&rft.date=2013-03-01&rft.volume=22&rft.issue=3&rft.spage=556&rft.epage=564&rft.pages=556-564&rft.issn=0940-6719&rft.eissn=1432-0932&rft_id=info:doi/10.1007/s00586-012-2460-3&rft_dat=%3Cproquest_pubme%3E1318696408%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1314118467&rft_id=info:pmid/22864795&rfr_iscdi=true |