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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 Dans Chinois | WPRIM | ID: wpr-264536
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>
Sujets)
Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Arthrodèse vertébrale / Tumeurs du rachis / Ponction lombaire / Rachis / Chirurgie générale / Thérapeutique / Ciments osseux / Études de suivi / Résultat thérapeutique / Association thérapeutique Type d'étude: Étude observationnelle / Étude pronostique Limites du sujet: Adulte / Adulte très âgé / Femelle / Humains / Mâle langue: Chinois Texte intégral: Chinese Journal of Surgery Année: 2005 Type: Article

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Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Arthrodèse vertébrale / Tumeurs du rachis / Ponction lombaire / Rachis / Chirurgie générale / Thérapeutique / Ciments osseux / Études de suivi / Résultat thérapeutique / Association thérapeutique Type d'étude: Étude observationnelle / Étude pronostique Limites du sujet: Adulte / Adulte très âgé / Femelle / Humains / Mâle langue: Chinois Texte intégral: Chinese Journal of Surgery Année: 2005 Type: Article