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.
KeywordsVertebral Body Posterolateral Approach Vertebral Collapse Posterior Surgery Vertebral Metastasis
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- 3.Harrington KD (1981) The use of methyl methacrylate for vertebral body replacement and anterior stabilization of pathological fractures-dislocations of the spine due to metastatic malignant disease. J Bone Joint Surg 63A: 36–46Google Scholar
- 5.Onimus M, Laurain JM, Wendling D (1988) Les tumeurs secondaires du rachis. Histoire naturelle et possibilityés thérapeutiques. Semin Hop Paris 64: 2092–2098Google Scholar