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Transpedicular Corpectomy in Minimally Invasive Surgery for Metastatic Spinal Cord Compression: A Single-Center Series.

作者信息

Reyes Soto Gervith, Moreno Daniel Vega, Serrano-Murillo Monica, Castillo-Rangel Carlos, Gonzalez-Aguilar Alberto, Meré Gómez José Rodrigo, Garcìa Fuentes Pablo Isaac, Cacho Diaz Bernardo, Ramirez Manuel de Jesus Encarnacion, Nikolenko Vladimir, Cherubin Tshiunza M, Amador Hernández Miguel Agustín, Montemurro Nicola

机构信息

Neurosurgical Oncology, Mexico's National Institute of Cancer, Tlalpan, MEX.

Neurosurgery, Universidad Nacional Autónoma de México, Coyoacán, MEX.

出版信息

Cureus. 2024 Sep 30;16(9):e70503. doi: 10.7759/cureus.70503. eCollection 2024 Sep.


DOI:10.7759/cureus.70503
PMID:39479069
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11523553/
Abstract

Introduction The role of separation surgery in managing symptomatic spinal metastases has been increasing in recent years, and it represents a crucial part of the definitive management of this condition. Methods We report on a series of seven patients treated at the National Cancer Institute in Mexico using minimally invasive approaches to perform transpedicular corpectomy. The goal was to obtain a margin of tumor-free tissue, enabling the completion of oncological treatment with radiotherapy. Results We collected data from six cases. The mean age was 61.2 years. Surgical outcomes were good in 83.3% of patients. Ranging from minimally invasive instrumentations to total or partial corpectomies, these procedures achieved their intended function of generating healthy neural tissue free of tumor. This ensures that the radiation gradient does not affect this tissue. No surgical complications were reported. The objective of these surgeries was to establish a radiotherapy or radiosurgery regimen as soon as possible, thereby improving patients' quality of life (QoL). Conclusions Low-cost transpedicular corpectomy via minimally invasive surgery (MIS) is a safe and effective method that meets the goals of separation surgery. However, prospective studies are needed to directly compare open techniques with minimally invasive methods.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/652e/11523553/f4b6906fd037/cureus-0016-00000070503-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/652e/11523553/0d9a70349750/cureus-0016-00000070503-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/652e/11523553/b7b5ec0d1658/cureus-0016-00000070503-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/652e/11523553/ad4dea654fa0/cureus-0016-00000070503-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/652e/11523553/b59722f4c90c/cureus-0016-00000070503-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/652e/11523553/59e34a429c7a/cureus-0016-00000070503-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/652e/11523553/30d680b2540a/cureus-0016-00000070503-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/652e/11523553/f4b6906fd037/cureus-0016-00000070503-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/652e/11523553/0d9a70349750/cureus-0016-00000070503-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/652e/11523553/b7b5ec0d1658/cureus-0016-00000070503-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/652e/11523553/ad4dea654fa0/cureus-0016-00000070503-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/652e/11523553/b59722f4c90c/cureus-0016-00000070503-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/652e/11523553/59e34a429c7a/cureus-0016-00000070503-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/652e/11523553/30d680b2540a/cureus-0016-00000070503-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/652e/11523553/f4b6906fd037/cureus-0016-00000070503-i07.jpg

相似文献

[1]
Transpedicular Corpectomy in Minimally Invasive Surgery for Metastatic Spinal Cord Compression: A Single-Center Series.

Cureus. 2024-9-30

[2]
Posterior thoracic corpectomy with cage reconstruction for metastatic spinal tumors: comparing the mini-open approach to the open approach.

J Neurosurg Spine. 2015-5-1

[3]
Minimally invasive extracavitary transpedicular corpectomy for the management of spinal tumors.

Neurosurg Clin N Am. 2014-4

[4]
Separation surgery for metastatic epidural spinal cord compression: comparison of a minimally invasive versus open approach.

Neurosurg Focus. 2021-5

[5]
Complete percutaneous treatment of vertebral body tumors causing spinal canal compromise using a transpedicular cavitation, cement augmentation, and radiosurgical technique.

Neurosurg Focus. 2009-12

[6]
Transpedicular 3D endoscope-assisted thoracic corpectomy for separation surgery in spinal metastases: feasibility of the technique and preliminary results of a promising experience.

Neurosurg Rev. 2020-2

[7]
Evaluation of open and minimally invasive spinal surgery for the treatment of thoracolumbar metastatic epidural spinal cord compression: a systematic review.

Eur Spine J. 2021-10

[8]
Minimally invasive lateral corpectomy for thoracolumbar traumatic burst fractures.

Neurosurg Focus. 2020-9

[9]
Minimally invasive instrumentation without fusion during posterior thoracic corpectomies: a comparison of percutaneously instrumented nonfused segments with open instrumented fused segments.

J Neurosurg Spine. 2017-7

[10]
Minimally invasive thoracolumbar costotransversectomy and corpectomy via a dual-tube technique: evaluation in a cadaver model.

Surg Technol Int. 2007

本文引用的文献

[1]
Integrating Augmented Reality in Spine Surgery: Redefining Precision with New Technologies.

Brain Sci. 2024-6-27

[2]
Mexican Multicenter Experience of Metastatic Spinal Disease.

Cureus. 2024-4-18

[3]
Low-Cost 3D Models for Cervical Spine Tumor Removal Training for Neurosurgery Residents.

Brain Sci. 2024-5-27

[4]
On the balance beam: facing the challenges of neurosurgical education in the third millennium.

Surg Neurol Int. 2024-3-22

[5]
MIS technique for separation surgery in lumbar spine metastatic disease.

Neurosurg Focus Video. 2024-4-1

[6]
Clivus-Cervical Stabilization through Transoral Approach in Patients with Craniocervical Tumor: Three Cases and Surgical Technical Note.

Brain Sci. 2024-3-5

[7]
A critical appraisal of clinical practice guidelines on surgical treatments for spinal metastasis.

Eur Spine J. 2024-5

[8]
Digital 3D Exoscope is Safe and Effective in Surgery for Intradural Extramedullary Tumors: A Comparative Series.

World Neurosurg. 2024-4

[9]
Multiple Myeloma Treatment Challenges: A Case Report of Vertebral Artery Pseudoaneurysm Complicating Occipitocervical Arthrodesis and a Review of the Literature.

Cureus. 2023-11-30

[10]
Prognostic Factors Associated With Overall Survival in Breast Cancer Patients With Metastatic Spinal Disease.

Cureus. 2023-11-16

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