[Treatment of spinal metastases by posterolateral approach].
OBJECTIVE
To evaluate the value of spondylectomy, circumferential decompression, and spinal reconstruction for the treatment of spinal metastases using posterolater approach.


METHODS
Thirteen patients with spinal metastases were treated by spondylectomy, circumferential spinal cord decompression, and spinal reconstruction with pedicle fixation and polymethyl methacrylate. The outcome was assessed by pain relief and the improvement in neurologic symptoms.


RESULTS
Pain relief was obvious in all patients. Neurologic symptoms improved to various degrees in 6 patients.


CONCLUSIONS
Spondylectomy, spinal cord circumferential decompression and spinal reconstruction with pedicle fixation and polymethyl methacrylate using posterolateral approach are effective surgical method for spinal metastases.
Chen
Fei
F
Department of Spinal Surgery, Second Xiangya Hospital, Central South University, Changsha, China.
Kang
Yi-jun
YJ
Lü
Guo-hua
GH
Wang
Bing
B
Li
Jin
J
D000328:Adult; D000368:Aged; D002574:Cervical Vertebrae; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology; D008175:Lung Neoplasms / Q000473:pathology; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods; D013125:Spinal Neoplasms / Q000556:secondary* / Q000601:surgery*; D013904:Thoracic Vertebrae