The spine journal : official journal of the North American Spine Society · 2007
Transoral kyphoplasty for tumors in C2.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Monterumici Daniele A Fabris, Narne Surendra, Nena Ugo, Sinigaglia Riccardo
Аннотация
BACKGROUND CONTEXT: The management of tumors of the C2 body remains controversial. In cancer patients, major procedures may be contraindicated, and nonoperative treatment could fail.
PURPOSE: To describe a new surgical technique, the transoral kyphoplasty, that we performed in 3 cases of tumors in C2 after nonoperative treatment failure.
STUDY DESIGN: Case series of three patients.
PATIENT SAMPLE: Three patients from the senior author's practice.
OUTCOME MEASURES: To reduce pain and avoid both C2 collapse and prolonged immobilization, transoral kyphoplasties were performed.
METHODS: From February 2004 to January 2006, three cases of tumors in C2 did not show healing after nonoperative treatments.
RESULTS: No complications and/or complaints were related to the procedure. There were no C2-related symptoms or neurological problems. The first patient died 8 months after surgery. The second and the third are alive with follow-ups of 2 years and 6 months, respectively. In all cases, cervical motion was restored, and patients are pain free, with no findings regarding pathologic mobility/instability on X-ray and computed tomography scan.
CONCLUSIONS: Transoral kyphoplasty proved to be safe, quick, and effective in reducing pain and avoiding vertebral collapse in patients with tumors in C2 not responding to nonoperative treatment.
PURPOSE: To describe a new surgical technique, the transoral kyphoplasty, that we performed in 3 cases of tumors in C2 after nonoperative treatment failure.
STUDY DESIGN: Case series of three patients.
PATIENT SAMPLE: Three patients from the senior author's practice.
OUTCOME MEASURES: To reduce pain and avoid both C2 collapse and prolonged immobilization, transoral kyphoplasties were performed.
METHODS: From February 2004 to January 2006, three cases of tumors in C2 did not show healing after nonoperative treatments.
RESULTS: No complications and/or complaints were related to the procedure. There were no C2-related symptoms or neurological problems. The first patient died 8 months after surgery. The second and the third are alive with follow-ups of 2 years and 6 months, respectively. In all cases, cervical motion was restored, and patients are pain free, with no findings regarding pathologic mobility/instability on X-ray and computed tomography scan.
CONCLUSIONS: Transoral kyphoplasty proved to be safe, quick, and effective in reducing pain and avoiding vertebral collapse in patients with tumors in C2 not responding to nonoperative treatment.