Multisegmentale En-bloc-Spondylektomie: Indikation, Staging und chirurgische Technik

Translated title of the contribution: Multisegmental en bloc spondylectomy. Indications, staging and surgical technique

C. Druschel, A. C. Disch, I. Melcher, A. Luzzati, N. P. Haas, K. D. Schaser

Research output: Contribution to journalArticle

Abstract

Objective. Description of the surgical technique including approaches and spinal reconstruction principles for patients scheduled for multilevel en bloc excision of vertebral tumors (multisegmental total en bloc spondylectomy) with the aim to attain tumor-free margins and minimize the risk of local and systemic tumor recurrence. Restoration of biomechanically sufficient spinal stability. Functional preservation and/or regaining of adequate neurological function.Indications. Primary malignant and benign, aggressive spinal tumors. Solitary metastatic tumors of biologically and prognostically favorable primary tumor (good prognostic scores). Extracompartmental, multisegmental vertebral tumor manifestations according to Tomita type 6.Contraindications. Diffuse spinal/vertebral tumor spread according to Tomita type 7 (disseminated spinal metastatic disease). Detection of distant metastases in the staging investigation. Biologically unfavorable tumor entities or primary systemic malignant tumors/diffuse disseminated malignoma (Tomita score

Translated title of the contributionMultisegmental en bloc spondylectomy. Indications, staging and surgical technique
Original languageGerman
Pages (from-to)272-283
Number of pages12
JournalOperative Orthopadie und Traumatologie
Volume24
Issue number3
DOIs
Publication statusPublished - Jul 2012

Keywords

  • Metastasis
  • Multisegmental en bloc spondylectomy
  • Spinal neoplasms
  • Surgical technique

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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