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Acta Neurochirurgica

, Volume 160, Issue 7, pp 1373–1376 | Cite as

Total en-bloc spondylectomy through a posterior approach: technique and surgical outcome in thoracic metastases

  • Maurizio Domenicucci
  • Lorenzo Nigro
  • Roberto Delfini
How I Do it - Spine - Other
  • 172 Downloads

Abstract

Background

In 1981, Roy-Camille et al. have firstly reported the total en-bloc spondylectomy (TES) through a posterior approach for cases of malignant spine tumors in order to reduce the local recurrence and to increase the patient’s survival. By then, this surgery has been increasingly gaining recognition. However, it requires a high level of technical ability and knowledge of spinal anatomy, physiology, and biomechanics.

Method

Herein, we report the patient’s selection and technique to execute the TES for cases of thoracic metastasis.

Conclusion

This surgery is technically demanding so the patient’s selection requires a careful pre-operative evaluation. However, it can be suggested for patients affected by intracompartmental lesions with a good prognosis since the tumor’s progression is “limited” by local barriers as demonstrated by histological studies.

Keywords

Spinal metastases Vertebrectomy En-bloc vertebrectomy 

Notes

Compliance with ethical standards

Informed consent

The patient has consented to the submission of the manuscript to the journal.

Conflict of interest

The authors declare that they have no conflict of interest.

Supplementary material

701_2018_3572_MOESM1_ESM.mp4 (101.1 mb)
Video 1 a case of TES through a single posterior approach in a 39-year-old woman affected by a thoracic metastasis from breast cancer is reported. (MP4 103,547 kb)

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Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2018

Authors and Affiliations

  • Maurizio Domenicucci
    • 1
  • Lorenzo Nigro
    • 1
  • Roberto Delfini
    • 1
  1. 1.Department of Neurology and PsychiatryUniversity of RomeRomeItaly

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