[Anterior and posterior stabilization after resection of thyroid carcinoma destroying several cervical segments].
METHODS
Authors report a case of thyroid gland carcinoma. The tumor had metastases into the CV-VI-VII vertebras. Through an anterior approach, they removed the malignant tumor together with the bodies of the affected cervical vertebras and a two stage combined (anterior and posterior) cervical instrumentation was performed. The anterior fusion was carried out with iliac crest bone grafting and plate fixation. After four years the patient is alive and well, without symptoms of tumor recurrence or neurologic deficiency. The ventral fusion is stable.


CONCLUSIONS
Authors present a case of a successful operation of thyroid gland malignant tumor having metastases in the CV-VI-VII vertebras. Tumor resection, fusion and instrumentation is suggested to be carried out in one stage. The anterior and posterior instrumentation is essential. Radical removal of the tumor is mandatory even with complex instrumentation and oncotherapy procedures.
Feczkó
József
J
Fóvárosi Onkormányzat Péterfy Sándor utcai Kórház és Rendelóintézet, Baleseti Sebészeti Osztály, H-1076 Budapest, Péterfy Sándor utca 14. sarvary@mail.datanet.hu
Baráth
István
I
Sárváry
András
A
D000368:Aged; D001858:Bone Nails; D001860:Bone Plates; D002277:Carcinoma / Q000556:secondary* / Q000601:surgery; D002574:Cervical Vertebrae / Q000473:pathology* / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000379:methods*; D005598:Fractures, Spontaneous / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009361:Neoplasm Invasiveness; D013125:Spinal Neoplasms / Q000150:complications / Q000556:secondary* / Q000601:surgery*; D013964:Thyroid Neoplasms / Q000473:pathology* / Q000601:surgery; D016896:Treatment Outcome
Elülsó-hátsó stabilizálás több nyaki szegmentumot destruáló pajzsmirigy-carcinoma reszekciója után.