Abstract
During the past decade, improvements in neuroradiological diagnosis by computed tomography (CT) as well as magnetic resonance imaging (MRI), together with the development of effective multidisciplinary treatment, have considerably expanded the role of surgery in the treatment of neoplasms of the spine (43,50,51,55). Primary tumors of the spine are rare and account for less than 10% of all bone tumors. By far the most common cause of neoplastic involvement of the spine is metastasis to the vertebral column, which outnumbers primary tumors by a ratio of more than 10 to 1 (3,6,42). Autopsy data indicate that approximately one in three patients dying of cancer has metastasis to the vertebral column (57), and thus spinal metastases represent a major cause of morbidity in cancer patients.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Barcena A, Lobato RD, Rivas JJ, Cordobes F, De Castro S, Cabrera A, Lamas E. Spinal metastastic disease: analysis of factors determining functional prognosis and choice of treatment. Neurosurgery. 1984;15:820–827.
Bohm H, Harms J, Donk R, Zielke K. Correction and stabilization of angular kyphosis. Clin Orthop. 1990;258:56–61.
Boland PJ, Lane JM, Sundaresan N. Metastatic disease of the spine. Clin Orthop. 1982;169:95–102.
Bridwell KH, Jenny AB, Saul T, Rich KM, Grubb RL. Posterior segmental spinal instrumentation (PSSI) with posterolateral decompression and debulking for metastatic thoracic and lumbar spine disease: Limitations of the technique. Spine. 1988;13:1383–1394.
Clark CR, Keggi KJ, Panjabi MM. Methyl methacrylate stabilization of the cervical spine. J Bone Joint Surg. 1984;66(A):40–46.
Constans JP, De Vitiis E, Donzelli, Spaziante R, Meder JF, Haye C. Spinal metastases with neurological manifestations.J Neurosurg. 1983;59:111–118.
Cotrel Y, Dubousset J, Guillaumat M. New universal instrumentation in spinal surgery. Clin Orthop Rel Res. 1988;227:10–23.
Cybulski GR, Von Roenn KA, D’Angelo CM, DeWald RL. Luque rod stabilization for metastatic disease of the spine. Surg Neurol. 1987;28:277–283.
DeWald RL, Bridwell KL, Prodromas C, Rodts MF. Reconstructive surgery as palliation for metastatic malignancies of the spine. Spine. 1985;10:21–26.
Dollahite HA, Tatum L, Moinuddin SM. Aspiration biopsy of primary neoplasms of bone. J Bone Joint Surg. 1989;71A:1166–1169.
Faccioli F, Lima J, Bricolo A. One stage decompression and stabilization in the treatment of spinal tumors.J Neurol Sci. 1985;29:199–205.
Fiedler MW. Anterior decompression and stabilization of metastatic spinal fractures. J Bone Joint Surg. 1986;68B:83–90.
Findlay GFG. Adverse effects of the management of malignant spinal cord compression. J Neurol Neurosurg Psychiatry. 1984;47:761–768.
Flatley JJ, Anderson MH, Anast GT. Spinal instability due to metastastic disease. J Bone Joint Surg. 1984;66(A):47–52.
Gilbert RW, Kim JH, Posner JB. Epidural spinal cord compression from metastastic tumor; diagnosis and treatment.
Godersky JC, Smoker WRK, Knutzon R. Use of magnetic resonance imaging in the evaluation of metastastic spinal disease. Neurosurgery. 1987;21:676’680.
Hagenau C, Grosh W, Currie M, Wiley RG. Comparison of magnetic resonance imaging and myelography in cancer patients. J Clin Oncol. 1987; 5:1663–1669.
Hall MW, Webb JK. Anterior plate fixation in spine tumor surgery: Indications, techniques, results. Spine. 1991;16:80–83.
Harrington KD. Anterior cord decompression and spinal stabilization for patients with metastastic lesions of the spine. J Neurosurg. 1984;61:107–117.
Hodgson AR, Stock FE, Fang Hsy et al. Anterior spinal fusion. The operative approach and pathological findings in 412 patients with Pott’s disease of the spine. Br J Surg. 1960;48:177–178.
Kaneda K, Abumi K, Fujuja M. Burst fractures with neurological deficits of the thoracolumbar spine: results of anterior decompression and stabilization with anterior instrumentation. Spine. 1984;9:788–795.
King GJ, Kostuik JP, McBroom RJ, Richardson W. Surgical treatment of spinal metastases from renal cell carcinoma. Spine. 1991;16:265–271.
Ko K, Sundaresan N. Long term stability of methylmethacrylate constructs in cancer patients: a clinical study. AANS Abstract. 1991;724.
Kostuik JP. Anterior Kostuik-Harrington distraction systems for the treatment of kyphotic deformities. Spine. 1991;15:169–181.
Kostuik JP, Errico TJ, Gleason TF, Errico CC. Spinal stabilization of vertebral column tumors. Spine. 1988;13:250–256.
Lesoin F, Rousseaux M, Lozco G. Postero-lateral approach to tumors of the dorsolumbar spine. Acta Neurochir. 1986;81:40–44.
Macedo N, Sundaresan N, Galicich JH. Decompressive laminectomy for metastastic cancer: what are the current indications? Proc Am Soc Am Oncol. 1985;4:278.
Manabe S, Tateishi A, Abe M, Ohno T. Surgical treatment of metastastic tumors of the spine. Spine. 1989;14:41–47.
McAfee PC, Bohlman HH, Ducker T, Eismont FJ. Failure of stabilization of the spine with methyl methacrylate: A retrospective analysis of twenty-four cases. J Bone Joint Surg. 1986;68A: 1145–1157.
McDonald DJ, Capanna R, Gherlinzoni F, Bacci G, Ferruzi A. Influence of chemotherapy on perioperative complications in limb salvage surgery for bone tumors. Cancer. 1990;65:1509–1516.
Miles J, Banks AJ, Dervin E, Noori Z. Stabilization of the spine affected by malignancy. J Neurol Neurosurg Psychiatry. 1984;47:897–904. Ann Neurol. 1978;3:40–51.
Moore AJ, Utley D. Anterior decompression and stabilization of the spine in malignant disease.Neurosurgery. 1989;24:713–717.
Overby MC, Rothman AS. Anterolateral decompression for metastastic epidural spinal cord tumors.J Neurosurg. 1985;62:344–348.
Perrin RG, McBroom RJ. Anterior versus posterior decompression for symptomatic spinal metastasis. Can J Neurol Sci. 1987;14:75–80.
Rodichok LD, Harper GR, Ruckdeschel JC. Early detection and treatment of spinal metastases: the role of myelography.Ann Neurol. 1986;20:696–702.
Shaw B, Mansfield FL, Borges L. One stage postero-lateral spinal decompression and stabilization. J Neurosurg. 1989;70:407–410.
Siegal T, Siegal T. Surgical decompression of anterior and posterior malignant epidural tumors compressing the spinal cord: a prospective study. Neurosurgery. 1985;17:424–432.
Siegal T, Siegal T. Current considerations in the management of neoplastic spinal cord compression.Spine. 1989;14:223–229.
Siegal T, Tikva P, Siegal T. Vertebral body resection for epidural compression by malignant tumors. A series of 47 consecutive cases. J Bone Joint Surg. 1985;67A:375–382.
Suit HD, Mankin HJ, Wood WC, Proppe KH. Preoperative, intra-operative and post operative radiation in the treatment of primary soft tissue sarcoma. Cancer. 1985;55:2659–2667.
Sundaresan N, Choi IS, Hughes JEO, Sachdev V. Surgical treatment of spinal metastases from kidney cancer by presurgical embolization and resection. J Neurosurg. 1990;73:548–554.
Sundaresan N, DiGacinto GV, Hughes JEO: Surgical treatment of spinal metastases. Clin Neurosurg. 1986;33:503–522.
Sundaresan N, DiGacinto GV, Hughes JEO. Surgical approaches to primary and metastastic tumors of the spine. In: Schmidek HH, Sweet WH, eds. Operative Neurosurgical Techniques: Indications, Methods, Results. Vol. 2. Orlando, Grane & Stratton; FL: 1988:1525–1537.
Sundaresan N, DiGacinto GV, Hughes JEO, Krol G. Spondylectomy for malignant tumors of the spine. J Clin Oncol. 1989;7:1485–1491.
Sundaresan N, Galicich JH, Bains MS, Martini N, Beattie E. Vertebral body resection in the treatment of cancer involving the spine. Cancer. 1984;53: 1393–1396.
Sundaresan N, Galicich JH, Lane JM. Harrington rod stabilization for pathological fractures of the spine.J Neurosurg. 1984;60:282–286.
Sundaresan N, Galicich JH, Lane JM, Bains M, McCormack P. Treatment of neoplastic epidural cord compression by vertebral body resection and stabilization. J Neurosurg. 1985;63:676–684.
Sundaresan N, Galicich JH, Lane JM, Scher H. Stabilization of the spine involved by cancer. In: Dunsker SB, Schmidek HH, Frymoyer J, Kahn III, eds. The Unstable Spine. Orlando, FL: Grane & Stratton; 1986:249–274.
Sundaresan N, Hughes JEO, DiGacinto G, Cafferty M. Surgical treatment of neoplastic cord compression: Results of a prospective study. Neurosurgery. 1991;29:645–650.
Sundaresan N, Krol G, Hughes JEO. Treatment of malignant tumors of the spine. In: Youmans J, ed. Neurological surgery. Philadelphia: WB Saunders; 1987.
Sundaresan N, Schmidek H, Schiller A, Rosenthal A, eds. Tumors of the Spine. Philadelphia: WB Saunders; 1990.
Sundaresan N, Shah J, Feghali JG. A trans-sternal approach to the upper thoracic vertebra. Am J Surg. 1986;148:473–477.
Sze G. Magnetic resonance imaging in the evaluation of spinal tumors. Cancer. 1991;67:1229–1241.
Tokuhashi Y, Matsuzaki H, Toriyama S, Kawano H, Ohsaka S. Scoring system for the preoperative evaluation of metastastic spine tumor prognosis. Spine. 1991;15:1110–1113.
Weinstein JN, McLain RF. Primary tumors of the spine. Spine. 1987;12:843–851.
White AA III, Panjabi MM. Clinical Biomechanics of the Spine. 2nd ed. Philadelphia: JB Lippincott; 1990.
Wong DA, Fornasier VL, MacNab I. Spinal metastases: the obvious, the occult, and the impostors. Spine. 1990;15:1–4.
Yonenobu K, Korkusuz F, Hosono N, Ebana S, Ono K. Lateral rhacotomy for thoracic spinal lesions. Spine. 1991;15:1121–1125.
Young RF, Post EM, King GA. Treatment of spinal epidural metastases. Randomised prospective comparison of laminectomy and radiotherapy. J Neurosury. 1980;53:741–748.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1993 Springer-Verlag New York, Inc.
About this paper
Cite this paper
Sundaresan, N., Fraser, A.B., Krol, G. (1993). Surgical Stabilization for Tumors of the Thoracic Spine. In: Holtzman, R.N.N., McCormick, P.C., Farcy, JP.C., Winston, H. (eds) Spinal Instability. Contemporary Perspectives in Neurosurgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-9326-9_13
Download citation
DOI: https://doi.org/10.1007/978-1-4613-9326-9_13
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4613-9328-3
Online ISBN: 978-1-4613-9326-9
eBook Packages: Springer Book Archive