Transpedicular partial corpectomy without anterior vertebral reconstruction in thoracic spinal metastases.
METHODS
We retrospectively reviewed surgical results of posterolateral transpedicular partial corpectomy without anterior vertebral reconstruction in 23 consecutive patients with symptomatic metastatic spinal cord compression at thoracic spine.


OBJECTIVE
To evaluate postoperative outcomes and survival rates of patients undergoing transpedicular partial corpectomy without anterior vertebral reconstruction.


BACKGROUND
The need for anterior reconstruction after radical resection of vertebral body tumors has been emphasized by several authors. However, the stability of thoracic spine is substantially increased by the rib cage. The role of reconstruction may be not necessary in thoracic spine when partial corpectomy is performed.


METHODS
From November 2001 to November 2006, 23 patients with symptomatic metastatic spinal cord compression at thoracic spine underwent palliative surgery using a transpedicular partial corpectomy without anterior vertebral reconstruction. The indication for surgery was neurologic progression due to spinal cord compression.


RESULTS
Patients ranged in age from 20 to 88 years (mean, 57.0 years). Neurologic improvement by at least one Frankel grade was noted in 19 of 23 cases (82.6%). Overall, 73.9% of patients (17 of 23) could walk after surgery. There was no intraoperative mortality. Median survival time was 11.3 months. There was no implant failure.


CONCLUSIONS
The results of this study suggest that the stability of implants can be maintained up to 55.8 months without anterior vertebral reconstruction in thoracic spine.
Chen
Yen-Jen
YJ
Departments of Orthopedic Surgery, China Medical University Hospital, Taichung, Taiwan. yenjenc@yahoo.com
Hsu
Horng-Chaung
HC
Chen
Kun-Hui
KH
Li
Tsai-Chung
TC
Lee
Tu-Sheng
TS
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019299:Decompression, Surgical / Q000295:instrumentation / Q000379:methods / Q000401:mortality; D018450:Disease Progression; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D019635:Neurosurgical Procedures / Q000295:instrumentation / Q000379:methods* / Q000401:mortality; D010166:Palliative Care; D011183:Postoperative Complications / Q000209:etiology; D012189:Retrospective Studies; D013117:Spinal Cord Compression / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D013125:Spinal Neoplasms / Q000556:secondary* / Q000601:surgery*; D015996:Survival Rate; D013904:Thoracic Vertebrae / Q000473:pathology* / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome