Top

Published in:

Open Access 01-01-2006 | Invited review

Total en bloc spondylectomy for spinal tumors: improvement of the technique and its associated basic background

Authors: Katsuro Tomita, Norio Kawahara, Hideki Murakami, Satoru Demura

Published in: Journal of Orthopaedic Science | Issue 1/2006

Excerpt

Conventionally, curettage or piecemeal excision of vertebral tumors has been commonly practiced. However, clear disadvantages of these approaches include a high risk of tumor cell contamination of the surrounding structures and residual tumor tissue at the site due to the difficulty of distinguishing tumor from healthy tissue. These factors contribute to incomplete resection of the tumor as well as high local recurrence rates of spinal malignant tumors.1‐3 …

Fujita, T, Ueda, Y, Kawahara, N, Baba, H, Tomita, K 1997Local spread of metastatic vertrebral tumors: a histologic studySpine22190512CrossRefPubMed

Tomita, K, Kawahara, N, Baba, H, Tsuchiya, H, Nagata, S, Toribatake, Y 1994Total en bloc spondylectomy for solitary spinal metastasisInt Orthop182918CrossRefPubMed

Tomita, K, Kawahara, N, Baba, H, Tsuchiya, H, Fujita, T, Toribatake, Y 1997Total en bloc spondylectomy: a new surgical technique for primary malignant vertebral tumorsSpine2232433CrossRefPubMed

Roy-Camille, R, Mazel, CH, Saillant, G, Lapresle, PH 1990Treatment of malignant tumor of the spine with posterior instrumentationSundaresan, NSchmidek, HHSchiller, ALRosenthal, DI eds. Tumor of the spineSaundersPhiladelphia47387

Roy-Camille, R, Saillant, G, Bisserie, M, Judet, TH, Hautefort, E, Mamoudy, P 1981Resection vertebrale totale dans la chirurgie tumorale au niveau du rachis dorsal par voie posterieure pureRev Chir Orthop6742130PubMed

Stener, B 1971Total spondylectomy in chondrosarcoma arising from the seventh thoracic vertebraJ Bone Joint Surg Br5328895PubMed

Stener, B 1989Complete removal of vertebrae for extirpation of tumorsClin Orthop2457282PubMed

Stener, B 1990Technique of complete spondylectomy in the thoracic and lumbar spineSundaresan, NSchmidek, HHSchiller, ALRosenthal, DI eds. Tumor of the spineSaundersPhiladelphia4327

Stener, B, Johnsen, OE 1971Complete removal of three vertebrae for giant cell tumourJ Bone Joint Surg Br5327887PubMed

10.

Sundaresan, N, Rosen, G, Huvos, AG, Krol, G 1988Combined treatment of osteosarcoma of the spineNeurosurgery237149CrossRefPubMed

11.

Boriani, S, Biagini, R, De Iure, F, Di Fiore, M, Gamberini, G, Zanoni, A 1994Vertebrectomia lombare per neoplasia ossea: tecnica chirurgicaChir Organi Mov7916373PubMed

12.

Boriani, S, Chevalley, F, Weinstein, JN, Biagini, R, Campanacci, L, De Iure, F, et al. 1996Chordoma of the spine above the sacrum: treatment and outcome in 21 casesSpine21156977CrossRefPubMed

13.

Kawahara, N, Tomita, K, Fujita, T, Maruo, S, Otsuka, S, Kinoshita, G 1997Osteosarcoma of the thoracolumbar spine: total en bloc spondylectomy; a case reportJ Bone Joint Surg Am794538PubMed

14.

Kawahara, N, Tomita, K, Tsuchiya, H 2003Total en bloc spondylectomy: a new surgical technique for malignant vertebral tumorsWatkins, RG eds. Surgical approach to the spine2nd edn.Springer-VerlagNew York30925

15.

Murakami, H, Kawahara, N, Abdel-Wanis, ME, Tomita, K 2001Total en bloc spondylectomySemin Musculoskelet Radiol518994CrossRefPubMed

16.

Tomita, K, Toribatake, Y, Kawahara, N, Ohnari, H, Kose, H 1994Total en bloc spondylectomy and circumspinal decompression for solitary spinal metastasisParaplegia323646PubMed

17.

Enneking, WF, Spanier, SS, Goodmann, MA 1980A system for the surgical staging of musculoskeletal sarcomaClin Orthop15310620PubMed

18.

Harrington, KD 1986Metastatic disease of the spineJ Bone Joint Surg Am6811105PubMed

19.

Tokuhashi, Y, Matsuzaki, H, Toriyama, S, Kawano, H, Ohsaka, S 1990Scoring system for the preoperative evaluation of metastatic spine tumor prognosisSpine1511103CrossRefPubMed

20.

Tomita, K, Kawahara, K, Kobayashi, T, Yoshida, A, Murakami, H, Akamaru, T 2001Surgical strategy for spinal metastasesSpine26298306CrossRefPubMed

21.

Oken, MM, Creech, RH, Tormey, DC, Horton, J, Davis, TE, McFadden, ET, et al. 1982Toxicity and response criteria of the Eastern Cooperative Oncology GroupAm J Clin Oncol564955CrossRefPubMed

22.

Karnofsky, DA, Abelmann, WH, Kraver, LF 1948The use of nitrogen mustards in the palliative treatment of carcinoma with particular reference to bronchogenic carcinomaCancer163469CrossRef

23.

Nambu, K, Kawahara, N, Murakami, H, Ueda, Y, Tomita, K 2004Interruption of bilateral segmental arteries at several levels: influence on vertebral blood flowSpine2915304CrossRefPubMed

24.

Ueda, Y, Kawahara, N, Tomita, K, Kobayashi, T, Murakami, H, Nambu, K 2005Influence on spinal cord blood flow and spinal cord function by interruption of bilateral segmental arteries at up to three levels: experimental study in dogsSpine30223943CrossRefPubMed

25.

Kawahara, N, Mizuno, K, Murakami, H, Tomita, K 2003Epidural hemostasis for thoracic and lumbar surgery: epidural application of fibrin glue in total en bloc spondylectomySpine Spinal Cord162115

26.

Mizuno, K 2001Epidural hemostasis by fibrin glue injectionJ Juzen Med Soc1101719

27.

Adachi, B 1928Das Arteriensystem der JapanerMaruzenTokyo110

28.

Kawahara, N, Tomita, K, Baba, H, Toribatake, Y, Fujita, T, Mizuno, K, et al. 1996Cadaveric vascular anatomy for total en bloc spondylectomy in malignant vertebral tumorsSpine2114017CrossRefPubMed

29.

Winter, RB, Denis, F, Lonstein, JL, Caramella, J 1994Techniques of surgery: anatomy of thoracic intercostal and lumbar arteriesLonstein, JLBradford, DSWinter, RBOgilvie, JW eds. Moe's textbook of scoliosis and other spinal deformities3rd edn.SaundersPhiladelphia1968

30.

Tomita, K, Kawahara, N, Baba, H, Kikuchi, Y, Nishimura, H 1990Circumspinal decompression for thoracic myelopathy due to combined ossification of the posterior longitudinal ligament and ligamentum flavumSpine15111420CrossRefPubMed

31.

Toribatake, Y 1993The effect of total en bloc spondylectomy on soinal cord circulationJ Jpn Orthop Assoc67107080

32.

Woodard, JS, Freeman, LW 1956Ischemia of the spinal cordJ Neurosurg136372CrossRefPubMed

33.

Yoshizawa, H 1988Blood supply of spinal cord and nerve root: its clinical meaningJ Centr Jpn Orthop Trauma31113

34.

Tomita, K, Kawahara, N 1996The threadwire saw: a new device for cutting boneJ Bone Joint Surg Am7819157PubMed

35.

Abdel-Wanis, ME, Tsuchiya, H, Kawahara, N, Tomita, K 2001Tumor growth potential after tumoral and instrumental contamination: an in-vivo comparative study of T-saw, Gigli saw, and scalpelJ Orthop Sci64249CrossRef

36.

Kose, H, Kawahara, N, Tomita, K 1999Local irrigation with cisplatin following resection of malignant vertebral tumorsJ Jpn Spine Res Soc1035864

37.

Oda, I, Cunningham, BW, Abumi, K, Kaneda, K, McAfee, PC 1999The stability of reconstruction methods after thoracolumbar total spondylectomySpine2416348CrossRefPubMed

38.

Ikebuchi, K 1998Biomechanical study of the spine after total en bloc spondylectomyJ Juzen Med Soc10753746

39.

Akamaru T, Kawahara N, Sakamoto J, Murakami H, Hato T, Awamori S, Tomita K. Transmission of the load sharing inside a titanium mesh cage used in anterior column reconstruction after total spondylectomy; a finite element analysis. Spine 2005;30 (in press)

40.

Akamaru, T, Kawahara, N, Tsuchiya, H, Kobayashi, T, Murakami, H, Tomita, K 2002Healing of autogenous bone in a titanium mesh cage used in anterior column reconstruction after total spondylectomySpine27E32933CrossRefPubMed

41.

Enneking, WF, Eady, JL, Burchardt, H 1980Autogenous cortical bone grafts in the reconstruction of segmental skeletal defectsJ Bone Joint Surg Am62103958PubMed

42.

Kawahara, N, Tomita, K, Kobayashi, T, Murakami, H, Abdel-Wanis, ME 2005Influence of acute shortening on the spinal cord: an experimental studySpine3061320CrossRefPubMed

43.

Carlson, GD, Warden, KE, Barbeau, JM, Bahnink, E, Kutina-Nelson, KL, Biro, CL, et al. 1997Viscoelastic relaxation and regional blood flow response to spinal cord compression and decompressionSpine22128591CrossRefPubMed

44.

Ducker, TB, Salcman, M, Lucas, JT, Garrison, WB, Perot, PL,Jr 1978Experimental spinal cord trauma. II. Blood flow, tissue oxigen, evoked potentials in both paretic and plegic monkeysSurg Neurol106470PubMed

45.

Holtz, A, Nystrom, B, Gerdin, B 1990Relationship between spinal cord blood flow and functional recovery after blocking weight-induced spinal cord injury in ratsNeurosurgery269527CrossRefPubMed

46.

Ohashi, T, Morimoto, T, Kawata, K, Yamada, T, Sakaki, T 1996Correlation between spinal cord blood flow and arterial diameter following acute spinal cord injury in ratsActa Neurochir (Wien)1383229CrossRef

47.

Winter, RB 1997Spine update; neurologic safety in spinal deformity surgerySpine22152733CrossRefPubMed

48.

Young, W, Flamm, ES 1982Effect of high-dose corticosteroid therapy on blood flow, evoked potentials, and extracellular calcium in experimental spinal injuryJ Neurosurg5766773CrossRefPubMed

Title: Total en bloc spondylectomy for spinal tumors: improvement of the technique and its associated basic background
Authors: Katsuro Tomita
Norio Kawahara
Hideki Murakami
Satoru Demura
Publication date: 01-01-2006
Publisher: Springer-Verlag
Published in: Journal of Orthopaedic Science / Issue 1/2006
Print ISSN: 0949-2658
Electronic ISSN: 1436-2023
DOI: https://doi.org/10.1007/s00776-005-0964-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Total en bloc spondylectomy for spinal tumors: improvement of the technique and its associated basic background

Excerpt

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Excerpt

Please log in to get access to this content

Other articles of this Issue 1/2006

Pseudoarthrosis of vertebral fracture: radiographic and characteristic clinical features and natural history

Pathogenesis of tendinous xanthoma: histopathological study of the extremities of Watanabe heritable hyperlipidemic rabbits

Building up original evidence

Incidence and prognostic factors of Japanese breast cancer patients with bone metastasis

Randomized prospective study on prophylactic antibiotics in clean orthopedic surgery in one ward for 1 year

Regenerated soft tissue survival using repulsive force of magnetized devices: preliminary report