The surgical palliation of operation combined with vertebroplasty for multiple spinal neoplasm / 中华外科杂志
Chinese Journal of Surgery
; (12): 225-228, 2005.
Article
in Zh
| WPRIM
| ID: wpr-264536
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To discuss the effect and complication of spinal operation combined with vertebroplasty in treating for multiple spinal neoplasm.</p><p><b>METHODS</b>During the last two years, 20 patients (13 male and 7 female) with multiple spinal neoplasm including metastases, multiple myeloma and lymphoma were treated by operation combined with vertebroplasty, 2 vertebral body segments were involved in 5 cases, 3 to 4 vertebral body segments were involved in 11 cases, more than 5 segments were involved in other 4 cases. Neurological function deficit and severe pain were seen in all the cases. Patients were evaluated by Tomita prognostic scoring system before the operation; The average point was 7.2 (from 3 to 9 points).</p><p><b>RESULTS</b>The pain relief rate was 85% (17/20), and neurological recovery was found in 10 out of 12 patients who had neurological deficit. According to the system of Frankel and neurological function, 1 patient recovered from grade B to grade C after the operation, and there was no change in another patients who was evaluated as grade A before the operation. The main complication of vertebroplasty was leakage of PMMA. Six patients had leakage of PMMA into adjacent structures in this series.</p><p><b>CONCLUSIONS</b>Better results of pain relief and neurological function recovery and living quality can be achieved by surgical palliation of operation combined with vertebroplasty for multiple spinal neoplasm.</p>
Full text:
1
Index:
WPRIM
Main subject:
Spinal Fusion
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Spinal Neoplasms
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Spinal Puncture
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Spine
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General Surgery
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Therapeutics
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Bone Cements
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Follow-Up Studies
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Treatment Outcome
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Combined Modality Therapy
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Adult
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Aged
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Female
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Humans
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Male
Language:
Zh
Journal:
Chinese Journal of Surgery
Year:
2005
Type:
Article