Laminectomy without instrumentation for surgical treatment of metastatic spinal cord compression

Detalhes bibliográficos
Autor(a) principal: Borges,Paulo Alvim
Data de Publicação: 2014
Outros Autores: Teixeira,William Gemio Jacobsen, Narazaki,Douglas Kenji, Cristante,Alexandre Fogaça, Ghilardi,Cesar Salge, Teixeira,Manoel Jacobsen, Camargo,Olavo Pires de, Barros-Filho,Tarcisio Eloy Pessoa de
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Coluna/Columna
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512014000100063
Resumo: OBJECTIVE: To analyze the development of mechanical complications as a result of spinal decompression or cauda equina in patients with metastatic tumors of the spine via laminectomy or laminoartrectomy without fixation. METHODS: We studied the medical records of all patients submitted to spine decompression with laminectomy without fixation. The decompression was indicated to treat cord compression or cauda equina caused by metastatic tumors. Patients were evaluated for the development of postoperative mechanical instability by comparing the preoperative radiological examinations with the latest one available in the medical record review.. In these images, we evaluated the emergence of new deformity in the sagittal or coronal planes and translational deformity. We consider new deformity, signs of deformity greater or equal to 5° in the coronal or sagittal planes and signs of increased vertebral translation greater than or equal to 3 mm. RESULTS: No patient developed radiological instability in the period evaluated with an average follow-up of 163.24 days (3-663). The complication rate in our sample was not higher than the previously reported in the literature. CONCLUSION: Isolated laminectomy at one or more levels is a safe procedure for the treatment of metastatic spinal cord compression where the spine is judged stable before surgery.
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spelling Laminectomy without instrumentation for surgical treatment of metastatic spinal cord compressionSpinal cord compressionLaminectomySpinal neoplasmsDecompression, surgicalTreatment outcome OBJECTIVE: To analyze the development of mechanical complications as a result of spinal decompression or cauda equina in patients with metastatic tumors of the spine via laminectomy or laminoartrectomy without fixation. METHODS: We studied the medical records of all patients submitted to spine decompression with laminectomy without fixation. The decompression was indicated to treat cord compression or cauda equina caused by metastatic tumors. Patients were evaluated for the development of postoperative mechanical instability by comparing the preoperative radiological examinations with the latest one available in the medical record review.. In these images, we evaluated the emergence of new deformity in the sagittal or coronal planes and translational deformity. We consider new deformity, signs of deformity greater or equal to 5° in the coronal or sagittal planes and signs of increased vertebral translation greater than or equal to 3 mm. RESULTS: No patient developed radiological instability in the period evaluated with an average follow-up of 163.24 days (3-663). The complication rate in our sample was not higher than the previously reported in the literature. CONCLUSION: Isolated laminectomy at one or more levels is a safe procedure for the treatment of metastatic spinal cord compression where the spine is judged stable before surgery. Sociedade Brasileira de Coluna2014-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512014000100063Coluna/Columna v.13 n.1 2014reponame:Coluna/Columnainstname:Sociedade Brasileira de Coluna (SBCO)instacron:SBCO10.1590/S1808-18512014130100324info:eu-repo/semantics/openAccessBorges,Paulo AlvimTeixeira,William Gemio JacobsenNarazaki,Douglas KenjiCristante,Alexandre FogaçaGhilardi,Cesar SalgeTeixeira,Manoel JacobsenCamargo,Olavo Pires deBarros-Filho,Tarcisio Eloy Pessoa deeng2015-08-18T00:00:00Zoai:scielo:S1808-18512014000100063Revistahttps://www.revistacoluna.org/ONGhttps://old.scielo.br/oai/scielo-oai.phpcoluna.columna@uol.com.br||revistacoluna@uol.com.br2177-014X1808-1851opendoar:2015-08-18T00:00Coluna/Columna - Sociedade Brasileira de Coluna (SBCO)false
dc.title.none.fl_str_mv Laminectomy without instrumentation for surgical treatment of metastatic spinal cord compression
title Laminectomy without instrumentation for surgical treatment of metastatic spinal cord compression
spellingShingle Laminectomy without instrumentation for surgical treatment of metastatic spinal cord compression
Borges,Paulo Alvim
Spinal cord compression
Laminectomy
Spinal neoplasms
Decompression, surgical
Treatment outcome
title_short Laminectomy without instrumentation for surgical treatment of metastatic spinal cord compression
title_full Laminectomy without instrumentation for surgical treatment of metastatic spinal cord compression
title_fullStr Laminectomy without instrumentation for surgical treatment of metastatic spinal cord compression
title_full_unstemmed Laminectomy without instrumentation for surgical treatment of metastatic spinal cord compression
title_sort Laminectomy without instrumentation for surgical treatment of metastatic spinal cord compression
author Borges,Paulo Alvim
author_facet Borges,Paulo Alvim
Teixeira,William Gemio Jacobsen
Narazaki,Douglas Kenji
Cristante,Alexandre Fogaça
Ghilardi,Cesar Salge
Teixeira,Manoel Jacobsen
Camargo,Olavo Pires de
Barros-Filho,Tarcisio Eloy Pessoa de
author_role author
author2 Teixeira,William Gemio Jacobsen
Narazaki,Douglas Kenji
Cristante,Alexandre Fogaça
Ghilardi,Cesar Salge
Teixeira,Manoel Jacobsen
Camargo,Olavo Pires de
Barros-Filho,Tarcisio Eloy Pessoa de
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Borges,Paulo Alvim
Teixeira,William Gemio Jacobsen
Narazaki,Douglas Kenji
Cristante,Alexandre Fogaça
Ghilardi,Cesar Salge
Teixeira,Manoel Jacobsen
Camargo,Olavo Pires de
Barros-Filho,Tarcisio Eloy Pessoa de
dc.subject.por.fl_str_mv Spinal cord compression
Laminectomy
Spinal neoplasms
Decompression, surgical
Treatment outcome
topic Spinal cord compression
Laminectomy
Spinal neoplasms
Decompression, surgical
Treatment outcome
description OBJECTIVE: To analyze the development of mechanical complications as a result of spinal decompression or cauda equina in patients with metastatic tumors of the spine via laminectomy or laminoartrectomy without fixation. METHODS: We studied the medical records of all patients submitted to spine decompression with laminectomy without fixation. The decompression was indicated to treat cord compression or cauda equina caused by metastatic tumors. Patients were evaluated for the development of postoperative mechanical instability by comparing the preoperative radiological examinations with the latest one available in the medical record review.. In these images, we evaluated the emergence of new deformity in the sagittal or coronal planes and translational deformity. We consider new deformity, signs of deformity greater or equal to 5° in the coronal or sagittal planes and signs of increased vertebral translation greater than or equal to 3 mm. RESULTS: No patient developed radiological instability in the period evaluated with an average follow-up of 163.24 days (3-663). The complication rate in our sample was not higher than the previously reported in the literature. CONCLUSION: Isolated laminectomy at one or more levels is a safe procedure for the treatment of metastatic spinal cord compression where the spine is judged stable before surgery.
publishDate 2014
dc.date.none.fl_str_mv 2014-03-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512014000100063
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512014000100063
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S1808-18512014130100324
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Coluna
publisher.none.fl_str_mv Sociedade Brasileira de Coluna
dc.source.none.fl_str_mv Coluna/Columna v.13 n.1 2014
reponame:Coluna/Columna
instname:Sociedade Brasileira de Coluna (SBCO)
instacron:SBCO
instname_str Sociedade Brasileira de Coluna (SBCO)
instacron_str SBCO
institution SBCO
reponame_str Coluna/Columna
collection Coluna/Columna
repository.name.fl_str_mv Coluna/Columna - Sociedade Brasileira de Coluna (SBCO)
repository.mail.fl_str_mv coluna.columna@uol.com.br||revistacoluna@uol.com.br
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