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| 篇名 |
Surgery of Pathological Fracture in Metastatic Cervical Spinal Tumor with PMMA and Titanium Rod |
| 作者 |
Kuang-Chen Hung*, Da-Tong Ju, Chen-Fu Chang, Hsin-I Ma,Guann-Juh Chen, Ming-Ying Liu, Yung-Hsiao Chiang |
| 卷期/出版年月 |
37卷3期 (2004/6) |
| 頁次 |
105-111 |
| 摘要 |
Objective: To assess clinical outcome and survival of patients with cervical spinal malignancies after undergoing anterior decompression and stabilization by
replacement of the affected vertebral bodies with titanium rod and methylmethacrylate (MMA) polymerized in situ without any anterior cervical plate fixation. The use of a titanium rod can avoid MMA dislodging and is cost effective in those patients.
Materials and Methods: From January, 2000 to December, 2002, there were six
patients who matched these criteria and underwent operation. Preoperatively, all
patients had severe neck pain, which aggravated with any motion of the spine. Five patients had mild to moderate neurological deficit. All patients received palliative radiotherapy to the involved vertebrae either preoperatively or postoperatively with a dosage ranging from 3060 to 4600 rads. Postoperatively, all patients wore a hard cervical collar. The periods of postoperative follow-up were 3 to 30 months.
Results: Most of the patients reported decrease in neck pain and the median
change of pre- and post-operative VAS score was -4 (paired-t test; p=0.00096125). No patients had deteriorated neurological status. There were no complications associated with the rod and PMMA. Of course, there were also no donor-site-associated complications.
Conclusions: MMA polymerizing in situ anchored by a titanium rod is a safe and
effective surgical procedure, re-creating and maintaining normal vertebral
alignment and stability. It is also an alternative treatment to improve the quality of life for cancer patients. |
| 關鍵詞 |
cervical neoplasm, metastasis, pathological fracture, PMMA, titanium rod |
| 分類 |
Original Articles |
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