Summary
Anterior stabilization during thoracotomy, using the patient's own ribs, was carried out seven times in six subjects with malignant lesions of the thoracic vertebrae. The primary malignancy was lung carcinoma in four cases, thyroid carcinoma in one case, and alveolar soft tissue sarcoma in one. Resection of the lung tumor and spinal surgery were carried out simultaneously. Four of the six patients had complete paraplegia and two had partial paraplegia prior to the operation. After the decompression and anterior stabilization, three subjects responded well and three responded poorly because of respiratory insufficiency.
Similar content being viewed by others
References
Bradford DS, Winter RB, Lonstein JE, Moe JH (1979) Techniques of anterior spinal surgery for the management of kyphosis. Clin Orthop 128:129–139
Bradford DS (1980) Anterior vascular pedicle bone grafting for the treatment of kyphosis. Spine 5:318–323
Harrington KG (1984) Anterior cord depression and spinal stabilization for patients with metastatic lesions of the spine. J Neurosurg 61:107–117
Hodgson AR, Stock FE (1960) Anterior spine fusion for the treatment of tuberculosis of the spine. J Bone Joint Surg [Am] 42:295–310
Johnson JTH, Robinson RA (1968) Anterior strut grafts for severe kyphosis. Results of 3 cases with a proceeding progressive paraplegia. Clin Orthop 56:25–36
McAfee PC, Bohlman HH, Ducker T, Eismont FJ (1986) Failure of stabilization of the spine with methylmethacrylate. J Bone Joint Surg [Am] 68:1145–1157
Rose GK, Owen R, Sanderson JM (1975) Transposition of rib with blood supply for the stabilization of a spinal kyphosis. J Bone Joint Surg [Br]57:112
Streits W, Brown JC, Bonnett CA (1977) Anterior fibular strut grafting in the treatment of kyphosis. Clin Orthop 128:140–148
Sundersan N, Galicich JH, Lane JM (1985) Treatment of neoplastic epidural cord compression by vertebral body resection and stabilization. J Neurosurg 63:676–684
Sundarsan N, Galicich JH, Lane JM (1984) Harrington rod stabilization for pathological fractures of the spine. J Neurosurg 60:282–286
Waisbrod H (1988) Treatment of metastatic disease of the spine with anterior resection and stabilization by means of a new cancellous metal construct. A preliminary report. Arch Orthop Trauma Surg 107:222–225
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Shirakusa, T., Motonaga, R., Yoshimine, K. et al. Anterior rib strut grafting for the treatment of malignant lesions in the thoracic spine. Arch Orthop Trauma Surg 108, 268–272 (1989). https://doi.org/10.1007/BF00932311
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00932311