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EN BLOC VERTEBRAL RESECTION FOR PRIMARY AND METASTATIC SPINE TUMORS

RESSECÇÃO VERTEBRAL EM BLOCO DE TUMORES PRIMÁRIOS E METASTÁTICOS DA COLUNA VERTEBRAL

RESECCIÓN VERTEBRAL EN BLOQUE DE TUMORES PRIMARIOS Y SECUNDARIOS ESPINALES

ABSTRACT

Objective

Primary and secondary spine tumors occur frequently and treating them surgically has gained prominence. The objective of this study was to evaluate the outcomes and complications in a series of patients with primary and secondary vertebral tumors treated by en bloc vertebral resection.

Methods

A retrospective review of the patients who underwent en bloc vertebral resection between 2004 and 2017 was conducted.

Results

During the study period, 16 patients underwent en bloc vertebral resection. They were divided into primary tumor and metastatic tumor groups, 11 being primary tumors and 5 metastatic tumors. The average follow-up period was 95 months (3-156 months). The patients were treated by the same surgical team and the analysis was carried out by an independent observer.

Conclusion

In this case series, the results where comparable to those reported in the literature in terms of complications, survival, recurrence and neurological status. It is a demanding surgical technique, with a high percentage of morbidity and mortality, nevertheless, it allows local control and recurrence of the lesion. Level of evidence I; Case Series.

Spinal Neoplasms; Spine; Lymphatic Metastasis; Thoracic Vertebrae

Sociedade Brasileira de Coluna Al. Lorena, 1304 cj. 1406/1407, 01424-001 São Paulo, SP, Brasil, Tel.: (55 11) 3088-6616 - São Paulo - SP - Brazil
E-mail: coluna.columna@uol.com.br