[One-stage approach to the anterior and posterior vertebral column in operative treatment of advanced traumatic and neoplastic changes of the thoraco-lumbar spine].
There were presented indications and operative technique of one-stage approach to anterior and posterior part of the thoraco-lumbar spine. Presented technique gave chance to control antero-lateral and posterior aspects of the spine. There were 2 patients with delayed compressions of the vertebral bodies in lumbar part with severe kyphotic deformity. Those deformities were the cause of progression of neural symptoms in a few months after injury. Another 4 patients had the spinal tumours. In one case it was giant-cell tumour which destroyed body and the arch of Th12. In two patients metastases of renal cancer infiltrated L2 and L3. The last one had breast cancer metastasis into Th12. In all patients it was necessary to control anterior and posterior columns of the spine to restore its axis and the shape of spinal canal.
Godlewski
Piotr
P
Katedra i Klinika Ortopedii i Traumatologii, Akademia Medyczna w Lublinie.
Mazurkiewicz
Tomasz
T
Gaweda
Krzysztof
K
D000328:Adult; D006801:Humans; D016268:Internal Fixators; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D019637:Orthopedic Procedures / Q000379:methods*; D011044:Poland; D011859:Radiography; D016103:Spinal Fractures / Q000601:surgery*; D013125:Spinal Neoplasms / Q000601:surgery*; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome