Skip to main content

Advertisement

Log in

Surgical treatment of extradural spinal cord compression due to metastatic tumours

  • Clinical Articles
  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Summary

The authors present a group of 23 patients with extradural spinal metastases who had undergone surgical treatment with different approaches, with reference to the anatomical site of the tumours. They report the results and discuss the criteria of the different surgical technical choices.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Barcena A, Lobato RD, Rivas JJet al (1984) Spinal metastatic disease: analysis of factors determining functional prognosis and the choice of treatment. Neurosurgery 15: 820–827

    PubMed  Google Scholar 

  2. Benzel EC (1989) Lateral extracavitary approach to the spine using the three-quarter position. J Neurosurg 71: 837–841

    PubMed  Google Scholar 

  3. Black P (1979) Spinal metastasis: current status and recommended guidelines for management. Neurosurgery 5: 726–746

    PubMed  Google Scholar 

  4. Blach P (1985) Spinal epidural tumours. In: Wilkins RH, Rengachary SS (eds) Neurosurgery. McGraw-Hill

  5. Brice J, McKissock W (1965) Surgical treatment of malignant extradural spinal tumours. Br Med J 1: 1341–1342

    Google Scholar 

  6. Capener N (1954) The evolution of lateral rachitomi. J Bone Joint Surg (Br) 36: 173–179

    Google Scholar 

  7. Chadduck WM, Boop WC jr (1983) Acrylic stabilization of the cervical spine for neoplastic disease: evolution of a tecnique for vertebral body replacement. Neurosurgery 13 (1): 23–29

    PubMed  Google Scholar 

  8. Cybulski G (1989) Methods of surgical stabilization for metastatic disease of the spine. Neurosurgery 25: 240–252

    PubMed  Google Scholar 

  9. Clarc CR, Kessi KJ, Pansabi MM (1984) Methylmethacrylate stabilization of the cervical spine. J Bone Joint Surg (Am) 66: 40–46

    Google Scholar 

  10. Cloward RB (1958) The anterior approach for removal of ruptured cervical discs. J Neurosurg 15: 602–617

    PubMed  Google Scholar 

  11. Constans JP, DeDivitiis E, Donzelli Ret al (1983) Spinal metastases with neurological manifestations. Review of 600 cases. J Neurosurg 59: 111–118

    PubMed  Google Scholar 

  12. Cross GO, White LP (1971) Acrylic prothesis of the fifth cervical vertebra in multiple myeloma. J Neurosurg 35: 112–114

    PubMed  Google Scholar 

  13. Dunn RC jr, Kelly WA, Whons RNet al (1980) Spinal epidural neoplasia: a 15 years review of results of surgical therapy. J Neurosurg 52: 47–51

    PubMed  Google Scholar 

  14. Erickson DL, Leider LL, Brown WB (1977) One stage decompression-stabilization for thoracolumbar fractures. Spine 2: 52–56

    Google Scholar 

  15. Faccioli F, Lima J, Bricolo A (1985) One stage decompression and stabilization in the treatment of spinal tumours. J Neurosurg Sci 29: 199–205

    PubMed  Google Scholar 

  16. Findlay GFG (1984) Adverse effects of the management of malignant spinal cord compression. J Neurol Neurosurg Psychiatry 47: 761–768

    PubMed  Google Scholar 

  17. Hall AJ, Mackay NNs (1973) The results of laminectomy for compression of the cord or cauda equina by extradural malignant tumour. J Bone Joint Surg (Br) 55: 497–505

    Google Scholar 

  18. Harrington, KD (1984) Anterior cord decompression and spinal stabilization for patients with metastatic lesions of the spine. J Neurosurg 61: 107–117

    PubMed  Google Scholar 

  19. Gilbert, RW, Posner JB (1978) Epidural spinal cord compression from metastatic tumour: diagnosis and treatment. Ann Neurol 3: 40–51

    PubMed  Google Scholar 

  20. Gunn DR, Tupper JW, Mullen MP (1974) Decompression and immediate stabilization of the spine in patients suffering from malignant disease. J Bone Joint Surg (Am) 46: 1767–1768

    Google Scholar 

  21. Jelsma RK, Kirch PT, Jelsma LFet al (1982) Surgical treatment of thoracolumbar fractures. Surg Neurol 18: 156–166

    PubMed  Google Scholar 

  22. Kelly DL, Alexander E, Davis CH (1972) Acrylic fixation of atlent-axial dislocation. J Neurosurg 36: 366–371

    PubMed  Google Scholar 

  23. Lesoin F, Jomin M, Lozes Get al (1984) Voie d'abord posterolaterale des hernies discales dorsales par transverso-arthro-pediuclotomie. Neurochirurgie 30; 427–432

    PubMed  Google Scholar 

  24. Lesoin F, Rousseaux M, Lozes Get al (1986) Posterolateral approach to tumours of the dorsolumbar spine. Acta Neurochir (Wien) 81: 40–44

    Google Scholar 

  25. Livingston KE, Perrin RG (1978) The neurosurgical management of spinal metastases causing cord and cauda equina compression. J Neurosurg 49: 839–843

    PubMed  Google Scholar 

  26. Lozes G, Fawar A, Devos Pet al (1987) Operative treatment of thoracolumbar metastases using methylmetacrylate and Kempf's rods for vertebral replacement and stabilization. Acta Neurochir (Wien) 84: 118–123

    Google Scholar 

  27. Martenson JA, Evans RL, Lie MR (1985) Treatment outcome and complications in patients treated for malignant epidural spinal cord compression. Neuro-Oncol 3: 77–83

    Google Scholar 

  28. Menard V (1984) Causes de la paraplègie dans le mal de Pott, son traitement chirurgical par l'ouverture directe du foyer tuberculeaux des vertebres. Rev Orthop 5: 47–64

    Google Scholar 

  29. Overby MC, Rothman AS (1985) Anterolateral decompression for metastatic epidural spinal cord tumours. J Neurosurg 62: 344–348

    PubMed  Google Scholar 

  30. Patterson RH jr, Arbit E (1978) A surgical approach through the pedicle to protruded thoracic discs. J Neurosurg 48: 768–772

    PubMed  Google Scholar 

  31. Perrin RG, Livingston KE (1980) Neurosurgical treatment of pathological fracture-dislocation of the spine. J Neurosurg 52: 330–334

    PubMed  Google Scholar 

  32. Qiundlen EA (1988) Metastatic tumors of the spine. In: Schmidek H, Sweet W (eds) Operative neurosurgical techniques, ed. II. Grune-Stratton

  33. Shaw B, Mansfield FL, Borges L (1989) One stage posterolateral decompression and stabilization for primary and metastatic vertebral tumors in the thoracic and lumbar spine. J Neurosurg 70: 405–410

    PubMed  Google Scholar 

  34. Siegal T, Siegal T, Robin Get al (1982) Anterior decompression of the spine for metastatic epidural cord compression a promising avenue of therapy. Ann Neurol 11: 28–34

    PubMed  Google Scholar 

  35. Siegal T, Siegal T (1985) Surgical decompression of anterior and posterior malignant epidural tumors compressing the spinal cord: a prospective study. Neurosurgery 17: 424–432

    PubMed  Google Scholar 

  36. Siegal T, Siegal T (1985) Vertebral body resection for epidural tumors compression by malignant tumours. J Bone Joint Surg 67: 375–380

    PubMed  Google Scholar 

  37. Siegal T, Siegal T (1988) The management of malignant epidural tumors compressing the spinal cord. In: Schmidek H, Sweet W (eds) Operative neurosurgical techniques, ed. II. Grune-Stratton

  38. Sundaresan N, Galicich JH, Lane JM (1984) Harrington rod stabilization for pathological fractures of the spine. J Neurosurg 60: 282–286

    PubMed  Google Scholar 

  39. Sundaresan N, Galicich JH, Lane JMet al (1985) Treatment of neoplastic epidural cord compression by vertebral body resection and stabilization. J Neurosurg 63: 676–684

    PubMed  Google Scholar 

  40. Sundaresan N, Digiacinto GV, Hughes JEO (1986) Surgical treatment of spinal metastases. Clin Neurosurg 33: 503–508

    PubMed  Google Scholar 

  41. Torma T (1957) Malignant tumors of the spine and the spinal epidural space. A study based on 250 histologically verified cases. Acta Chir Scand [Suppl] 225: 1–176

    Google Scholar 

  42. Veith RS, Odom GL (1965) Extradural spinal metastases and their neurosurgical treatment. J Neurosurg 23: 501–508

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Coraddu, M., Nurchi, G.C., Floris, F. et al. Surgical treatment of extradural spinal cord compression due to metastatic tumours. Acta neurochir 111, 18–21 (1991). https://doi.org/10.1007/BF01402508

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01402508

Keywords

Navigation