Resumo

SOSA CARRASCO, Madelín et al. Approach combined in thoracolumbar spine for tumors. Rev Cubana Ortop Traumatol [online]. 2012, vol.26, n.1, pp.76-89. ISSN 0864-215X.

Introduction: the progress of imaging, the survival of oncology patient and the development of short instrumentations increased the interest by the use of combined approaches. Objective: to expose the experience of the Orthopedics service of "Hermanos Ameijeiras" Clinical Surgical Hospital in the combined approach of thoracolumbar spine. Description: authors present 5 cases presenting with tumoral processes of thoracolumbar segment using a combined approach, operated on above mentioned service from February, 2007 to May, 2011. Following variables were included: age, sex, and type of tumor. Pain was assessed (Denis) and the preoperative and postoperative neurologic status (Frankel), as well as the complications. Results: in patients aged under 50 there was predominance of female sex and of primary tumors: in preoperative period 4 patients had a C Frankel and in all of them it was possible to move to E. As regards the Denis pain between 3 and 4 moving to 0 and 1. Complications included graft luxation with a deep sepsis, as well as two dural sac tears. Conclusions: the combined approach is an advantageous and recommendable option for surgical treatment in spinal tumors.

Palavras-chave : spinal tumors; anterior approach; combined approach.

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