Hostname: page-component-745bb68f8f-g4j75 Total loading time: 0 Render date: 2025-01-14T13:21:45.410Z Has data issue: false hasContentIssue false
  • English
  • Français

Anterior Versus Posterior Decompression for Symptomatic Spinal Metastasis

Published online by Cambridge University Press:  18 September 2015

R.G. Perrin  and
R.J. McBroom
R.G. Perrin*
Affiliation:
Wellesley Hospital, The University of Toronto, Toronto
R.J. McBroom
Affiliation:
Wellesley Hospital, The University of Toronto, Toronto
*
Room 314, Jones Building, The Wellesley Hospital, 160 Wellesley Street East, Toronto, Ontario, Canada M4Y 1J3
Rights & Permissions [Opens in a new window]

Abstract:

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Management of patients with symptomatic spinal metastasis is designed to (1) relieve pain, and (2) restore or preserve neurologic function. The surgical strategy must include provisions for decompression of the dural sac and nerve roots, and stabilization of the spinal column. The optimal surgical approach, whether from in front or from behind is determined by a number of factors including (1) tumour location, (2) spinal level, (3) fixation factors, (4) patient debility.

Type
Research Article
Information
Canadian Journal of Neurological Sciences , Volume 14 , Issue S1 , February 1987 , pp. 75 - 80
Copyright
Copyright © Canadian Neurological Sciences Federation 1987

References

REFERENCES

1.Black, P. Spinal metastasis: current status and recommended guidelines for management. Neurosurgery 1979; 5: 726–745.CrossRefGoogle ScholarPubMed
2.Dunn, RC Jr., Kelly, WA, Wohns, RN, Howe, JF. Spinal epidural neoplasia: A 15 year review of the results of surgical therapy. J Neurosurg 1980; 52: 47–51.CrossRefGoogle ScholarPubMed
3.Friedman, M, Kim, TH, Panahon, A. Spinal cord compression in malignant lymphoma: treatment and results. Cancer 1976; 37: 1485–91.3.0.CO;2-L>CrossRefGoogle ScholarPubMed
4.Gilbert, RW, Kim, J-H, Posner, JB. Epidural spinal cord compression from metastatic tumour: diagnosis and treatment. Ann Neurol 1978;3:40–51.CrossRefGoogle ScholarPubMed
5.Alexander, B, Davis, CH, Field, CH. Metastatic lesions of the vertebral column causing cord compression. Neurology 1956;6: 103–107.CrossRefGoogle ScholarPubMed
6.Benson, WJ, Scarffe, HH, Todd, 1DH. Spinal cord compression in myeloma. Brit Med J 1979; 1: 1541–1544.CrossRefGoogle ScholarPubMed
7.Bogoch, ER, English, E, Perrin, RG, Tator, CH. Successful surgical decompression of spinal extradural metastases of liposarcoma. Spine 1983; 8: 228–235.CrossRefGoogle ScholarPubMed
8.Perrin, RG, Livingston, KE. Neurosurgical treatment of pathological fracture-dislocation of the spine. J Neurosurg 1980; 52:330–4.CrossRefGoogle ScholarPubMed
9.Sundaresan, N, Galicich, J, Bains, M, Martini, N, Beattie, EJ. Vertebral body resection in the treatment of cancer involving the spine. Cancer 1984; 53: 1393–1396.3.0.CO;2-0>CrossRefGoogle ScholarPubMed
10.Wilson, CB, Fewer, D. Role of neurosurgery in the management of patients with carcinoma of the breast. Cancer 1971; 28: 1681–5.3.0.CO;2-O>CrossRefGoogle ScholarPubMed
11.Wright, RL. Malignant tumors in the spinal extradural space. Annals of Surgery 1963; 157: 227–231.CrossRefGoogle ScholarPubMed
12.Brady, LW, et al. The treatment of metastatic disease of the nervous system by radiation therapy. In: Seydel, HG, ed. Tumours of the nervous system. New York: John Wiley & Sons, 1975: 177–188.Google Scholar
13.Brice, J, McKissock, W. Surgical treatment of malignant extradural spinal tumours. Brit Med J 1965; 1: 1341–1344.CrossRefGoogle ScholarPubMed
14.Livingston, KE, Perrin, RG. Neurosurgical management of spinal metastastes. J Neurosurg 1978; 49: 839–843.CrossRefGoogle Scholar
15.Marshall, LF, Langfitt, TW. Combined therapy for metastatic extradural tumors of the spine. Cancer 1977; 40: 2067–2070.3.0.CO;2-H>CrossRefGoogle ScholarPubMed
16.White, WA, Patterson, RH, Bergland, RM. Role of surgery in the treatment of spinal cord compression by metastatic neoplasm. Cancer 1971;3:558–61.3.0.CO;2-E>CrossRefGoogle Scholar
17.Wild, WO, Porter, RW. Metastatic epidural tumorofthe spine. Arch Surg 1963; 87: 825–30.CrossRefGoogle ScholarPubMed
18.Arbit, E, Brem, S, Rubenstein, A. A surgical approach through the pedicle to metastatic tumours of the spine. Presented at the 8th International Congress of Neurological Surgery, Toronto, July 7–13, 1986.Google Scholar
19.Garrido, E. Modified costotransversectomy: a surgical approach to ventrally placed lesions in the thoracic spinal canal. Surg Neurol 1980; 13: 109–113.Google ScholarPubMed
20.Perrin, RG, Livingston, KE. Pathological fracture-dislocation of the cervical spine. In: Tator, CH, ed. Early Management of Acute Spinal Cord Injury. New York: Raven Press, 1982: 365–372.Google Scholar
21.Harrington, KD. Anterior decompression and spinal stabilization for patients with metastatic lesions of the spine. J Neurosurg 1984;61: 107–117.CrossRefGoogle ScholarPubMed
22.Harrington, KD. The use of methyl methacrylate for vertebral-body replacement and anterior stabilization of pathological fracture-dislocations of the spine due to metastatic malignant disease. J Bone Joint Surg (Am) 1981; 63: 36–46.CrossRefGoogle ScholarPubMed
23.Siegal, T, Siegal, T. Surgical decompression of anterior and poste-rior malignant epidural tumors compressing the spinal cord: a prospective study. Neurosurg 1985; 17: 424–431.CrossRefGoogle Scholar
24.Siegal, T, Siegal, T, Robin, G, Lubetzki-Korn, 1, Fuks, Z. Anterior decompression of the spine for metastatic epidural cord com-pression. Ann Neurol 1982; 11: 28–34.CrossRefGoogle Scholar
25.Perrin, RG, Livingston, KE, Aarabi, B. Intradural extramedullary spinal metastasis. J Neurosurg 1982; 56: 835–837.CrossRefGoogle ScholarPubMed
26.Heller, M, Perrin, RG, Macnab, I, McBroom, RJ. Posterolateral decompression and Luque instrumentation for metastatic dis-ease of the spine. J Neuroorthopaedics (In Press) 1986.Google Scholar