Vertebral Metastasis - Natural History and Treatment
In order to determine the natural history of vertebral metastasis, a series of 120 patients were reviewed. All patients were operated on anteriorly (80 cases), posteriorly (28 cases), both (4 cases), or by posterolateral approach (8 cases). The surgical approach was chosen in relation to the topography of the metastasis on the vertebra. The age at operation averaged 60 years (range, 31–87 years). The primary lesion was breast (33%), lung (20%), prostate (13%), and myeloma (10%), miscellaneous (9%), and unknown (15%). All patients reported local or radiating pain. Thirty-seven patients exhibited neurologic deficit graded according to Frankel’s classification in 6 grade A, 10 grade B, 15 grade C, and 6 grade D.
KeywordsMyeloma Methacrylate Dura Cough Paraplegia
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