Spinal Oncologic Reconstruction
نویسندگان
چکیده
The frequency of tumors is increasing and metastases to the spine also increase as life expectancy increases. Detailed planning and staging helps in the surgical resection and reconstruction and also to achieve better outcomes for these patients. Spinal deformities may occur with either benign or malignant spinal neoplasms. Involvement of the vertebral body occurs in 80% of malignant spinal tumors and 40% of benign lesions. The spine is the most common site for skeletal metastasis, with 39% of all patients with bone metastases having lesions in the axial skeleton. General principles for operating spine tumors include decompression of the tumoral cord compression, preserving uninvolved spine segments, making a stable construction, choosing an approach that is consistent with the anticipated reconstruction, and minimizing surgical morbidity. The priority in the treatment of spine metastases is to preserve mechanical and neurological function. Complete local eradication is the main goal in the treatment of primary tumors, as an oncologically appropriate surgical treatment can substantially improve the prognosis and even be considered a life-saving procedure
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تاریخ انتشار 2010