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KMID : 0613320070130010037
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Journal of the Korean Bone and Joint Tumor Soceity
2007 Volume.13 No. 1 p.37 ~ p.42
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Short Term Result of Total en Bloc Spondylectomy in Spine Tumor
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Kim Jae-Do
Jang Jae-Ho
Park Chan-Jae
Chung Jae-Yoon
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Abstract
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Purpose : Because of the anatomical characteristics, it is difficult to perform radical operation in spinal tumor. Numerous operations on primary and metastatic spinal tumor have been performed and among those total en bloc spondylectomy has produced decent clinical result. Clinical and radiological results have been analyzed based on five total en bloc spondylectomy on primary and metastatic spinal tumor.
Materials & Methods : Patients included in this study were one with primary and four with metastatic spinal tumors, from June 1997 to January 2006. Two of the four were originated form kidney. One was from breast and the other one was not identified. McAfee’s 4 point scale, VAS and Frankel’s classification have been used as clinical assessment of pain and neurological symptoms. Clinical assessment have been conducted for every 3 months after operation including local recurrence, bone union and complications.
Results : Assessment of pain decreased from average of 3 before operation to 1.6 after operation in McAfee’s scale and VAS decreased from average of 9.2 to 1.6. Neurological deficit after operation improved from C to D in Frankel’s category. Local recurrence has been detected on metastatic adenocarcinoma of L4 during follow up.
Conclusion : Total en bloc spondylectomy is evidently useful operational method for primary and metastatic spinal tumor since it completely decompresses spinal nerves, decreases axial pain immediately and improves the quality of remaining life.
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KEYWORD
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Total en bloc spondylectomy, Primary and metastatic spinal tumor
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