En Bloc Vertebrectomy for the Treatment of Spinal Lesions. Five Years of Experience in a Single Institution: a Case Series

Overview

Journal Clinics (Sao Paulo)

Publisher Elsevier

Specialty General Medicine

Date 2018 May 4

PMID 29723344

Citations 5

Authors

Alex Oliveira de Araujo

Douglas Kenji Narazaki

William Gemio Jacobsen Teixeira

Cesar Salge Ghilardi

Pedro Henrique Xavier Nabuco de Araujo

Antonio Eduardo Zerati

Raphael Martus Marcon

Alexandre Fogaca Cristante

Tarcisio Eloy Pessoa de Barros Filho

Affiliations

Soon will be listed here.

Abstract

Objectives: 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.

Methods: 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.

Results: 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.

Conclusion: This study demonstrates and reinforces the reproducibility of the en bloc vertebrectomy technique described by Tomita et al.

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