title: Anterolateral kyphoplasty in the management of cervical spinal metastasis.
abstract: Management of spinal metastasis is still controversial and must take into account various parameters. The aim of this study is to report the technical feasibility of a less invasive anterior cervical balloon kyphoplasty for vertebral body reinforcement. Six consecutive patients with an osteolytic cervical metastasis, without neurologic compromise, and for whom a curative treatment was not indicated, were retrospectively reviewed. All patients underwent balloon kyphoplasty through a small anterolateral cervicotomy. Evaluation of the technique outcomes was clinical and radiologic with a systematic CT-scan. During the follow-up period (6 months average), neurologic examination was normal in all cases with reduced cervical pain and without reported loss of motion of the cervical spine. A cement leakage was noticed in two cases without clinical consequences. This less invasive procedure was feasible and provided satisfactory preliminary results. It can therefore be a valuable alternative in selected cases where a curative treatment is not indicated.
authors.affiliation: Neurosurgery Department, la Timone Hospital, 264, rue Saint-Pierre, 13005 Marseille, France.
authors.forename: B
authors.initials: B
authors.lastname: Blondel
authors.forename: T
authors.initials: T
authors.lastname: Adetchessi
authors.forename: J
authors.initials: J
authors.lastname: Demakakos
authors.forename: G
authors.initials: G
authors.lastname: Pech-Gourg
authors.forename: H
authors.initials: H
authors.lastname: Dufour
authors.forename: S
authors.initials: S
authors.lastname: Fuentes
mesh_terms: D000368:Aged; D001843:Bone Cements / Q000627:therapeutic use; D001943:Breast Neoplasms / Q000473:pathology / Q000601:surgery; D002574:Cervical Vertebrae; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007267:Injections; D007680:Kidney Neoplasms / Q000473:pathology / Q000601:surgery; D058498:Kyphoplasty / Q000379:methods*; D008175:Lung Neoplasms / Q000473:pathology / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D009101:Multiple Myeloma / Q000473:pathology / Q000601:surgery; D012189:Retrospective Studies; D013125:Spinal Neoplasms / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D001843:Bone Cements