title: Single-Stage Posterolateral Transpedicular Approach With 360-Degree Stabilization and Vertebrectomy in Primary and Metastatic Tumors of the Spine.
abstract: OBJECTIVE
  Currently, anterior, posterior, or combined approaches are used in various spinal disorders; however, a single-stage posterolateral transpedicular approach with 360° stabilization and vertebrectomy provides better results for spinal tumors.
  
  
  METHODS
  We evaluated the age, sex distribution, presenting symptoms, neurologic examination findings according to the pre- and postoperative Frankel classification, pre- and postoperative VAS pain scores, preoperatively administered medical therapies, pre- and postoperative corset use, level of the lesion, levels of previous surgical interventions, root ligation (if performed), results of the primary disease, hospitalization duration (after the operation), postoperative complications (if any), postoperative follow-up duration, and postoperative survival duration of 22 patients.
  
  
  RESULTS
  We observed that primary bone tumors were localized in the lumbar (75%) and thoracic regions (25%) and that metastatic tumors were localized in the thoracic (77.78%) and lumbar regions (22.22%). The VAS and Frankel scores of the 22 patients who were included in the study revealed that this surgical treatment modality was associated with statistically significant improvements in test scores (P < 0.001). No ribcage dislocation was observed. In 1 patient (4.54%), a neurologic deficit developed. Two patients (9.09%) required revision because of screw malposition.
  
  
  CONCLUSIONS
  In spinal tumors, 360° fusion performed via a posterolateral approach is a less risky, relatively safe, and less invasive method. This method, which reduces the risks of anesthesia and internal problems and decreases cost, is an essential technique for decreasing hospitalization duration, improving pain levels, and achieving faster mobilization and faster initiation of radiotherapy and chemotherapy.
authors.affiliation: Department of Neurosurgery, Adana Numune Training and Research Hospital, Adana, Turkey.
authors.forename: Yurdal
authors.initials: Y
authors.lastname: Gezercan
authors.affiliation: Department of Neurosurgery, Adana Numune Training and Research Hospital, Adana, Turkey. Electronic address: gokhanctf@yahoo.com.
authors.forename: Gökhan
authors.initials: G
authors.lastname: Çavuş
authors.affiliation: Department of Neurosurgery, Adana Numune Training and Research Hospital, Adana, Turkey.
authors.forename: Ali Ihsan
authors.initials: AI
authors.lastname: Ökten
authors.affiliation: Department of Neurosurgery, Ankara Training and Research Hospital, Ankara, Turkey.
authors.forename: Güner
authors.initials: G
authors.lastname: Menekşe
authors.affiliation: Department of Neurosurgery, Adana Numune Training and Research Hospital, Adana, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Çıkılı
authors.affiliation: Department of Pathology, Adana Numune Training and Research Hospital, Adana, Turkey.
authors.forename: Fulya
authors.initials: F
authors.lastname: Adamhasan
authors.affiliation: Department of Neurosurgery, Adana Numune Training and Research Hospital, Adana, Turkey.
authors.forename: Ali
authors.initials: A
authors.lastname: Arslan
authors.affiliation: Department of Neurosurgery, Adana Numune Training and Research Hospital, Adana, Turkey.
authors.forename: Vedat
authors.initials: V
authors.lastname: Açık
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D013125:Spinal Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery*; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery; D055815:Young Adult
keywords: Corpectomy cage; Metastasis; Posterolateral; Spinal tumors; Surgical management; Transpedicular