Avtor/Urednik		Vengust, Rok; Gorenšek, Miro; Travnik, Ludvik; Košak, Robert; Roš, T
Naslov		Operativno zdravljenje metastaz v hrbtenici
Prevedeni naslov		Surgical treatment of spinal metastasis
Tip		članek
Vir		In: Komadina R, Stahovnik A, editors. 5. Celjski dnevi. Zbornik izbranih predavanj simpozija o poškodbah in okvarah hrbtenice; 2005 apr 8-9; Celje. Celje: Splošna bolnišnica Celje,
Leto izdaje		2005
Obseg		str. 166-71
Jezik		slo
Abstrakt		In last decade surgical treatment of spinal metastases improved significantly mainly because of improvement in diagnostics and surgical technique. Concerning surgical technique anterior approach with corpectomy and stabilization is used whenever type, location and life expectancy do not dictate it as inappropriate. from February 2003 till February 2005 18 patients were operated for extradural spinal metastases. The primary tumour was located in lung in 6 cases and in breast in 5 case. There were 3 metastases from kidney and two from prostate. Once a disease originated from intestinal and laryngeal carcinoma. Surgery was indicated because of neurological symptoms in 5 cases and because of pain in 3 cases. Other 10 patients were operated because of frank or incipient spinal instability. Segmental or partial segmental resection was performed in 6 cases and tumour debulking in 12 cases. Three weeks after surgery pain regressed on the bases of visual analogue scale from 7.4 (4-10), to 3.1 (1-7). Two out of five patients improved neurologically three weeks after surgery On the bases of our limited experience we conclude that segmental or partial segmental resection with stabilization should be performed in isolated breast or kidney metastases. In cases of lung metastases without neurological symptoms simple posterior decompression with stabilization provides acceptable morbidity with satisfactory result.
Deskriptorji		SPINAL NEOPLASMS