This study seeks to discuss the efficiency of minimally invasive surgery of posterior long segmental fixation plus direct decompression in patients with spinal metastatic tumors. Twenty-five patients received minimally invasive surgery of long segmental fixation combined with direct decompression from posterior approach. Pain and neurologic improvement in these patients pre- and post operation were evaluated by Denis' Pain Scale and Frankel Score, respectively. Seventeen patients (68.0%) showed significant decreases in Denis' Pain score after surgery (p < 0.0001). Paralysis symptoms were improved in nineteen patients (76.0%). The Frankel Score exhibited significant difference between pre-operation and post-operation (p < 0.0001). Operation time and blood loss in this cohort were 324 ± 90 min and 1047 ± 730 ml, respectively. No fatal complications were observed as a result of surgery. In conclusion, minimally invasive surgery of posterior long segmental fixation combined with direct decompression is a safe and efficient strategy to release pain and improve neurological function in patients with spinal metastatic tumors.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.ijsu.2012.12.016 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Possible factors influencing on the effect of minimally invasive sacroiliac joint fusion - a call for further research and discussion.
EClinicalMedicine
January 2025
Division of Orthopedic Surgery, Oslo University Hospital, Norway.
Y Incision and Roof Technique for Aortic Root Enlargement: A Minimally Invasive Approach.
Ann Thorac Surg Short Rep
September 2023
Department of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan.
The Y incision and roof technique for aortic valve replacement enable implantation of a large prosthetic valve and extensive enlargement of the sinotubular junction. Surgeons have been reluctant to adopt a minimally invasive approach for this procedure because of its complexity and risk. The Stonehenge technique was designed to achieve an ideal surgical view of the aortic root through a small right thoracotomy.
View Article and Find Full Text PDFEsophagectomy for Cancer After One Anastomosis Gastric Bypass.
Ann Thorac Surg Short Rep
September 2023
Division of Thoracic Surgery, Department of Surgery, Mayo Clinic, Rochester, Minnesota.
One anastomosis gastric bypass (OAGB) is growing in popularity, although it is potentially associated with biliary gastritis and gastroesophageal reflux esophagitis, with a potential rise in esophageal carcinoma. We describe the surgical management of a 53-year-old man with history of OAGB in whom biliary reflux and esophageal adenocarcinoma developed. We performed a minimally invasive Ivor Lewis esophagectomy, resected the sleeved stomach pouch, created a new conduit out of the remnant greater curve of the remnant stomach with blood supply from an intact gastroepiploic artery, and created an esophagogastric anastomosis.
View Article and Find Full Text PDFThoracoscopic and Transmanubrial Approach for Mediastinal Tumor Extending to the Neck.
Ann Thorac Surg Short Rep
September 2023
Division of Thoracic Surgery, Department of Surgery, The Jikei University School of Medicine, Minatoku, Tokyo, Japan.
The combination of thoracoscopic and transmanubrial approaches provides good visualization and maneuverability of the cervicothoracic junction area. Here we report the case of a young woman with a mediastinal tumor extending to the neck who first underwent a thoracoscopic approach followed by a transmanubrial approach. This procedure was superior in terms of technical advantages and preserved function as well as minimally invasive and cosmetically pleasing.
View Article and Find Full Text PDFRobot-Assisted Left Lower Sleeve Lobectomy for Mucoepidermoid Carcinoma.
Ann Thorac Surg Short Rep
September 2023
Division of Thoracic and Cardiovascular Surgery, Lahey Hospital & Medical Center, Tufts University School of Medicine, Burlington, Massachusetts.
Surgical resection with lung preservation is the treatment of choice for low-grade mucoepidermoid carcinoma of the tracheobronchial tree. This report describes a case of minimally invasive robot-assisted sleeve resection for tracheobronchial mucoepidermoid carcinoma and provides detailed instruction, with video demonstration, of the operative technique.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!