Lumbale Vertebrektomie bei Wirbeltumoren

Translated title of the contribution: Lumbar vertebrectomy for bone tumor

Stefano Boriani, Roberto Biagini, Federico De Iure, Isabella Andreoli, Laura Campanacci, Stefano Lari

Research output: Contribution to journalArticle

Abstract

Goal of Surgery Wide en-bloc resection of bone tumors confined to the vertebral body or involving one pedicle only. Indications Aggressive benign or malignant tumors confined to the vertebral body. Contraindications Pseudotumoral lesions like aneurysmal bone cyst. Radiosensitive tumors like plasmocytoma. Involvement of both pedicles. Positioning and Anaesthesia First prone, then 45° oblique supine position. Surgical Technique Lumbar vertebrectomy through an anterior and posterior approach. Reconstruction with posterior instrumentation and anterior bone grafting plus internal fixation. Postoperative Management Mobilization on the first postoperative day. After 2 weeks standing and walking with a brace. Unprotected weight bearing after consolidation of reconstruction. Possible Complications Laceration of lumbar vessels. Injury to ureter. Opening of abdominal cavity. Injury to nerve root. CSF fistula. Results In 4 patients an en bloc resection was done and in 3 an intralesional excision. No intraoperative death occurred but in 1 patient the lumbar vessels were injured and successfully repaired. No recurrence of tumor after an average of 13 months (6 to 21 months). No mechanical failures of mechanical reconstruction. All patients had radiographic signs of fusion.

Translated title of the contributionLumbar vertebrectomy for bone tumor
Original languageGerman
Pages (from-to)31-41
Number of pages11
JournalOperative Orthopadie und Traumatologie
Volume8
Issue number1
Publication statusPublished - 1996

Keywords

  • Bone tumors
  • Lumbar spine
  • Vertebrectomy

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

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  • Cite this

    Boriani, S., Biagini, R., De Iure, F., Andreoli, I., Campanacci, L., & Lari, S. (1996). Lumbale Vertebrektomie bei Wirbeltumoren. Operative Orthopadie und Traumatologie, 8(1), 31-41.