Primary bone tumors of the spine: A survey of the evaluation and treatment at the Istituto Ortopedico Rizzoli

S. Boriani, R. Biagini, F. De Iure, I. Andreoli, L. Campanacci, M. Di Fiore, A. Zanoni

Research output: Contribution to journalArticlepeer-review

Abstract

The experience at Istituto Rizzoli with 366 primary bone tumors of the spine focuses on the criteria for planning and treatment. An accurate preoperative evaluation by standard radiograph, computerized tomography scan, and magnetic resonance imaging allow the classification of benign lesions as latent (not requiring treatment), active (curettage), or aggressive (curettage pins adjuvants or marginal resection). The malignant lesions are classified as intracompartmental or extracompartmental (both low and high grade). Wide resection is attempted, but seldom is feasible. An angiographic study of the spinal cord is compulsory for lesions located in the thoracolumbar region. The value of embolization is enhanced, primarily in highly vascular lesions. An accurate preoperative study of the vital parameters of the patient, together with a continuous intraoperative monitoring, is mandatory.

Original languageEnglish
Pages (from-to)993-1000
Number of pages8
JournalOrthopedics
Volume18
Issue number10
Publication statusPublished - 1995

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

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