Anterolateral kyphoplasty in the management of cervical spinal metastasis - 25/04/12
Summary |
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 (6months 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.
Level of evidence |
Level IV retrospective observational study.
Le texte complet de cet article est disponible en PDF.Keywords : Cervical spine, Kyphoplasty, Spinal metastasis, Minimal invasive
Plan
Vol 98 - N° 3
P. 341-345 - mai 2012 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.