Vertebrectomía total en bloque en tumores vertebrales: consideraciones técnicas y detalles quirúrgicos

Delgado-López, Pedro David; Rodríguez-Salazar, Antonio; Martín-Velasco, Vicente; Castilla-Díez, José Manuel; Martín-Alonso, Javier; Galacho-Harriero, Ana; Gil‐Polo, Cecilia; Araús-Galdós, Elena

doi:10.1016/j.neucir.2016.07.002

Cited by 6 publications

(6 citation statements)

References 41 publications

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“…Nevertheless, the indication must consider clinical and radiological characteristics of each case. 18 Preoperative evaluation: Tokuhashi et al 17 proposed a prognostic scoring system for preoperative evaluation of patients with metastatic spine tumors. Tomita et al 16 designed a scoring system with three prognostic factors, which are regarded as the most influential factors for life expectancy: the pathological/clinical grade of malignancy, the presence of visceral metastases, and bone metastases.…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, the indication must consider clinical and radiological characteristics of each case. 18 …”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, the indication must consider clinical and radiological characteristics of each case. 18 2. Preoperative evaluation: Tokuhashi et al 17 proposed a prognostic scoring system for preoperative evaluation of patients with metastatic spine tumors.…”

Section: Indicationsmentioning

confidence: 99%

“…The technique also improves quality of life, and most patients preserve or improve their neurological status. 18 Good local control justifies performing these procedures in aggressive benign and low-grade malignant bone tumors. 9 Because of the special anatomy of the lumbosacral junction, performing total spondylectomy at the L5 level is a challenge, and it has been described in a few reports in the literature.…”

Section: Lessonsmentioning

confidence: 99%

“…Total en bloc spondylectomy (TES) is an effective option for selected patients with no disseminated spinal tumors, and the technique provides improvement of functionality and increase in survival. [15][16][17][18] This procedure is considered one of the most demanding surgeries and requires a consolidated experience. 15 In this case report, we discuss a patient with a metastatic carcinoid tumor from the jejunum, with multiple abdomen metastases and a solitary vertebral metastasis in L5.…”

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confidence: 99%

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Total en bloc spondylectomy for the L5 metastasis of a carcinoid tumor: illustrative case

Jódar¹,

Caparrós²,

Marin³

et al. 2022

Journal of Neurosurgery: Case Lessons

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BACKGROUND Total en bloc spondylectomy (TES) was designed to achieve oncological complete tumor resection in a vertebral compartment. Because of the special anatomy of the lumbosacral junction, TES procedure at the L5 level is a challenge, and it has been explained in few reports in the literature. Performing TES in the lower lumbar region, as normal, is accomplished by using a combined approach. OBSERVATIONS The authors presented the case of a 20-year-old man with an isolated spinal metastasis at the L5 level of carcinoid tumor of jejunum, limited to the vertebral body. Due to good long-term prognosis, after multidisciplinary evaluation the authors decided to treat the patient with TES through a combined posteroanterior approach, with posterior instrumentation and anterior reconstruction. Nine years after surgery, the patient was asymptomatic, with no sign of local recurrence. LESSONS TES is a feasible technique to provide long-term survival in a select subgroup of patients, reducing the risk of local recurrence. The authors presented some anatomical and biomechanical factors that must be considered at the lumbosacral region. Despite the high rates of complication associated with TES, most patients benefit from local control provided by the technique.

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Section: Discussionmentioning

confidence: 99%

“…Nevertheless, the indication must consider clinical and radiological characteristics of each case. 18 …”

Section: Discussionmentioning

confidence: 99%

Section: Indicationsmentioning

confidence: 99%

Section: Lessonsmentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Total en bloc spondylectomy for the L5 metastasis of a carcinoid tumor: illustrative case

Jódar¹,

Caparrós²,

Marin³

et al. 2022

Journal of Neurosurgery: Case Lessons

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Spinale Mammakarzinommetastasen aus Sicht der Wirbelsäulenchirurgie

et al. 2018

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Breast cancer is the most common malignancy affecting women and the spinal column is most likely affected by metastases. Modern oncologic treatment options have significantly prolonged survival times in the last decade. Therefore, treatment of vertebral metastases has been of special interest in spine surgery. Different scores are described to evaluate prognosis and to choose correct treatment strategies, which however only differentiate tumor entities and not specific tumor phenotypes. Breast cancer has been classified into five intrinsic subtypes with different survival rates since the turn of the millennium. The aim of this review was to describe molecular predictors of breast cancer malignancy and to better estimate expected survival times and invasiveness of therapies with regard to spinal metastases.

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Morphometrical evaluation of decompression obtained through corpectomy. Heading towards to posterior approaches

Delgado-Fernández

Simoes

García-Pallero

et al. 2019

Neurocirugía (English Edition)

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Vertebrectomía total en bloque en tumores vertebrales: consideraciones técnicas y detalles quirúrgicos

Cited by 6 publications

References 41 publications

Total en bloc spondylectomy for the L5 metastasis of a carcinoid tumor: illustrative case

Total en bloc spondylectomy for the L5 metastasis of a carcinoid tumor: illustrative case

Spinale Mammakarzinommetastasen aus Sicht der Wirbelsäulenchirurgie

Morphometrical evaluation of decompression obtained through corpectomy. Heading towards to posterior approaches

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