Primary tumors of the cervical spine

Surgical experience with 38 cases

Nicola Di Lorenzo, Roberto Delfini, Pasquale Ciappetta, Giampaolo Cantore, Aldo Fortuna

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Thirty-eight primary tumors of the cervical spine were operated on in the Section of Neurosurgery, Department of Neurological Sciences, "La Sapienza" University of Rome between 1954 and 1988. Of these, 23 were malignant and 15 benign. The aims of surgical treatment in every case were tumor removal, decompression of the spinal cord, and conservation or restoration of vertebral stability. In no case was surgery confined to biopsy. Surgical stabilization was performed in 12 patients. Bone fusion was obtained with autologous bone (iliac crest, fibula) in benign tumors, whereas synthetic material (acrylic and metal) was used in malignant tumors. Past experience and greater awareness of the concrete possibilities of treating these tumors have led us to evolve the following strategy: 1. 1. For aggressive benign tumors (osteoblastoma, giant cell tumors) and for malignancies in patients with fair life expectancy (solitary myeloma, chordoma): radical removal. 2. 2. For benign tumors with low neoplastic potential and for malignant tumors in patients with poor life expectancy: conservative removal. Long-term results were gratifying in all benign lesions and low-grade malignancies even though two patients with chordomas needed reoperations. Sarcomas had relatively poor results.

Original languageEnglish
Pages (from-to)12-18
Number of pages7
JournalSurgical Neurology
Volume38
Issue number1
DOIs
Publication statusPublished - 1992

Fingerprint

Spine
Neoplasms
Chordoma
Life Expectancy
Osteoblastoma
Bone and Bones
Giant Cell Tumors
Fibula
Neurosurgery
Decompression
Reoperation
Sarcoma
Spinal Cord
Metals
Biopsy

Keywords

  • Long-term results
  • Spine
  • Surgery
  • Tumors

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Di Lorenzo, N., Delfini, R., Ciappetta, P., Cantore, G., & Fortuna, A. (1992). Primary tumors of the cervical spine: Surgical experience with 38 cases. Surgical Neurology, 38(1), 12-18. https://doi.org/10.1016/0090-3019(92)90206-3

Primary tumors of the cervical spine : Surgical experience with 38 cases. / Di Lorenzo, Nicola; Delfini, Roberto; Ciappetta, Pasquale; Cantore, Giampaolo; Fortuna, Aldo.

In: Surgical Neurology, Vol. 38, No. 1, 1992, p. 12-18.

Research output: Contribution to journalArticle

Di Lorenzo, N, Delfini, R, Ciappetta, P, Cantore, G & Fortuna, A 1992, 'Primary tumors of the cervical spine: Surgical experience with 38 cases', Surgical Neurology, vol. 38, no. 1, pp. 12-18. https://doi.org/10.1016/0090-3019(92)90206-3
Di Lorenzo, Nicola ; Delfini, Roberto ; Ciappetta, Pasquale ; Cantore, Giampaolo ; Fortuna, Aldo. / Primary tumors of the cervical spine : Surgical experience with 38 cases. In: Surgical Neurology. 1992 ; Vol. 38, No. 1. pp. 12-18.
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