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En bloc vertebrectomy for the treatment of spinal lesions. Five years of experience in a single institution: a case series

Araujo, Alex Oliveira de ; Narazaki, Douglas Kenji ; Teixeira, William Gemio Jacobsen ; Ghilardi, Cesar Salge ; Araujo, Pedro Henrique Xavier Nabuco de ; Zerati, Antônio Eduardo ; Marcon, Raphael Martus ; Cristante, Alexandre Fogaça ; Barros, Tarcísio Eloy Pessoa de

Clinics (São Paulo, Brazil), 2018-01, Vol.73, p.e95-e95, Article e95 [Periódico revisado por pares]

Brazil: Elsevier España, S.L.U

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Título:
En bloc vertebrectomy for the treatment of spinal lesions. Five years of experience in a single institution: a case series
Autor: Araujo, Alex Oliveira de ; Narazaki, Douglas Kenji ; Teixeira, William Gemio Jacobsen ; Ghilardi, Cesar Salge ; Araujo, Pedro Henrique Xavier Nabuco de ; Zerati, Antônio Eduardo ; Marcon, Raphael Martus ; Cristante, Alexandre Fogaça ; Barros, Tarcísio Eloy Pessoa de
Assuntos: Adolescent ; Adult ; Aged ; Cancer Care Facilities ; Female ; Humans ; Lumbar Vertebrae - surgery ; Male ; MEDICINE, GENERAL & INTERNAL ; Middle Aged ; Operative Surgical Procedures ; Original ; Orthopedic Procedures - methods ; Orthopedic Procedures - mortality ; Orthopedics ; Reconstructive Surgical Procedures ; Reconstructive Surgical Procedures - methods ; Reconstructive Surgical Procedures - mortality ; Retrospective Studies ; Spinal Neoplasms ; Spinal Neoplasms - mortality ; Spinal Neoplasms - secondary ; Spinal Neoplasms - surgery ; Spine ; Surgical Wound Infection ; Survival Rate ; Thoracic Surgery ; Thoracic Vertebrae - surgery ; Time Factors ; Young Adult
É parte de: Clinics (São Paulo, Brazil), 2018-01, Vol.73, p.e95-e95, Article e95
Notas: ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
content type line 23
ObjectType-Review-1
Descrição: The objective of this study is to describe the experience of a Brazilian public university hospital regarding the treatment of metastatic or benign spine lesions with en bloc vertebrectomy of the thoracic and lumbar spines. This study was a retrospective case series and included all medical records of patients with benign aggressive, primary malignant, or metastatic spine lesions who underwent en bloc vertebrectomy from 2010 to 2015. A total of 17 patients were included in the analysis. Most of them (71%) were indicated for surgery based on an oncologic resection for localized disease cure. Overall, 10 of the 17 patients (59%) underwent vertebrectomy via an isolated posterior approach using the technique described by Roy-Camille et al. and Tomita et al., while 7 patients (41%) underwent double approach surgeries. Of the 17 patients who underwent the en bloc resection, 8 are still alive and in the outpatient follow-up (47%), and almost all patients with metastatic lesions (8/9) died. The average survival time following the surgical procedure was 23.8 months. Considering the cases of metastatic lesions and the cases of localized disease (malignant or benign aggressive disease) separately, we observed an average survival time of 15 months and 47.6 months respectively. This study demonstrates and reinforces the reproducibility of the en bloc vertebrectomy technique described by Tomita et al.
Editor: Brazil: Elsevier España, S.L.U
Idioma: Inglês;Português

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En bloc vertebrectomy for the treatment of spinal lesions. Five years of experience in a single institution: a case series

Araujo, Alex Oliveira de ; Narazaki, Douglas Kenji ; Teixeira, William Gemio Jacobsen ; Ghilardi, Cesar Salge ; Araujo, Pedro Henrique Xavier Nabuco de ; Zerati, Antônio Eduardo ; Marcon, Raphael Martus ; Cristante, Alexandre Fogaça ; Barros, Tarcísio Eloy Pessoa de

Brazil: Elsevier España, S.L.U

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