Anterolateral Cervical Kyphoplasty for Metastatic Cervical Backbone Lesions.
Asian Backbone J. 2018 Oct;12(5):823-829
Authors: Sebaaly A, Najjar A, Wang Z, Boubez G, Masucci L, Shedid D
STUDY DESIGN: Retrospective case sequence.
PURPOSE: To guage the scientific and radiological efficacy of anterolateral kyphoplasty for cervical spinal metastasis.
OVERVIEW OF LITERATURE: Though the backbone is the third most typical web site of tumor metastasis, the cervical backbone is the least generally affected (incidence, 10%-15%). Surgical decompression is extremely difficult due to the proximity of neural and vascular components. Kyphoplasty for cervical backbone metastasis has been described in small case experiences with promising outcomes.
METHODS: Retrospective evaluation of a potential collected single-center backbone metastasis database was achieved for cervical kyphoplasty circumstances. Knowledge pertaining to age, intercourse, major tumor analysis, modified Tokuhashi rating, Spinal Instability Neoplastic Rating (SINS), preoperative Visible Analog Scale (VAS) rating, and analgesic treatment had been extracted. Postoperative knowledge included VAS rating at postoperative day 1, length of hospitalization, self-reported useful final result, and VAS rating on the final follow-up.
RESULTS: Eleven sufferers (imply age, 62.5 years) with cervical backbone metastases had been handled with 15-level kyphoplasty. Imply Tokuhashi rating was eight.1, and imply SINS was 7.85. Imply preoperative ache rating was 7.1, and 82% of sufferers used opioid analgesics. Imply complete bleeding quantity was 100 mL. Imply complication-free size of keep was 2.6 days with a lower in postoperative ache (VAS rating=2.eight, p <zero.05). There was a 56% lower in opioid dosage and the variety of consumed analgesics (1.09, p =zero.004). Eightytwo p.c of the sufferers reported wonderful enchancment on the final follow-up self-assessment.
CONCLUSIONS: To our data, this case sequence represents the biggest sequence of vertebral augmentation utilizing balloon kyphoplasty for cervical spinal metastasis. This system is related to low postoperative issues in addition to important lower in ache, use of opioids, and size of hospital keep. The principle indications for vertebral kyphoplasty are lytic lesions of the cervical backbone, painful lesions refractory to medical therapy, SINS rating of 6-10, and absence of posterior wall defect.
PMID: 30213164 [PubMed]