Primary Osseous Tumors of the Subaxial Cervical Spine, Clinical Case Series

Background Data: Primary osseous tumors of the subaxial cervical spine are rare and can present with different clinical presentations and pathologies. Study Design: Retrospective descriptive clinical case series. Purpose: To assess the prognosis, surgical management, outcome of primary osseous tumo...

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Autores principales:	Mohamed El-Gaidi, Ehab Eissa
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2013
Materias:	cervical spine tumors spinal neoplasm cervical fusion Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/865dfcc498a943bd8821e4a155f0cf09
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spelling	oai:doaj.org-article:865dfcc498a943bd8821e4a155f0cf092021-12-02T06:44:54ZPrimary Osseous Tumors of the Subaxial Cervical Spine, Clinical Case SeriesDOI:10.21608/ESJ.2013.38372314-89502314-8969https://doaj.org/article/865dfcc498a943bd8821e4a155f0cf092013-07-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_3837.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Primary osseous tumors of the subaxial cervical spine are rare and can present with different clinical presentations and pathologies. Study Design: Retrospective descriptive clinical case series. Purpose: To assess the prognosis, surgical management, outcome of primary osseous tumors of the subaxial cervical spine Patients and Methods: Eight patients underwent surgical treatment for primary cervical bony tumors at Kasr Al-Aini Medical School, Cairo University, between 2007 and 2012. Mean follow-up was 24.4±6.8 months. Clinical outcome were evaluated neurologically using Frankel grading system, while visual analog scale (VAS) has been used to evaluate neck pain. Results: There was equal sex distribution and the mean age was 38.4±14.9 years (range 17-62 years). Half of patients had benign tumors (2 aneurysmal bone cysts, one hemangioma and one osteoblastoma) while the other 4 patients had malignant tumors (giant cell tumor, chordoma, chondro-sarcoma and plasmacytoma). Neck pain was the constant complaint of all patients. In addition, 5 patients suffered from myelopathy while 2 patients had radiculopathy. Anterior corpectomy and fusion was performed in four cases, while in 2 patients, only posterior approach was adopted. In the other 2 patients, combined anterior and posterior approaches were adopted. Postoperatively, 6 patients had the same preoperative Frankel grade (4 were grade E, 1 was D and 1 was C), while 2 patients improved (25%) (1 improved from D to E and 1 from C to D). The average VAS improved from 5±1.5 (range 3-8) preoperatively to 2.4±1.7 (range 1-5) postoperatively at last follow-up. The 4 patients with benign tumors are doing well (Frankel grade E). In contrast, 3 out of 4 patients with malignant tumors died within 12-16 m later, the survival of malignant tumors is 25% at 3 years. Conclusion: Marginal piecemeal resection and cervical instrumentation and fusion is a safe and effective method in management of benign osseous cervical tumors. However, the results are poor for malignant tumors even with adjuvant therapy. (2013ESJ051) Mohamed El-Gaidi Ehab EissaEgyptian Spine Associationarticlecervical spine tumorsspinal neoplasmcervical fusionNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 7, Iss 1, Pp 39-46 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	cervical spine tumors spinal neoplasm cervical fusion Neurology. Diseases of the nervous system RC346-429
spellingShingle	cervical spine tumors spinal neoplasm cervical fusion Neurology. Diseases of the nervous system RC346-429 Mohamed El-Gaidi Ehab Eissa Primary Osseous Tumors of the Subaxial Cervical Spine, Clinical Case Series
description	Background Data: Primary osseous tumors of the subaxial cervical spine are rare and can present with different clinical presentations and pathologies. Study Design: Retrospective descriptive clinical case series. Purpose: To assess the prognosis, surgical management, outcome of primary osseous tumors of the subaxial cervical spine Patients and Methods: Eight patients underwent surgical treatment for primary cervical bony tumors at Kasr Al-Aini Medical School, Cairo University, between 2007 and 2012. Mean follow-up was 24.4±6.8 months. Clinical outcome were evaluated neurologically using Frankel grading system, while visual analog scale (VAS) has been used to evaluate neck pain. Results: There was equal sex distribution and the mean age was 38.4±14.9 years (range 17-62 years). Half of patients had benign tumors (2 aneurysmal bone cysts, one hemangioma and one osteoblastoma) while the other 4 patients had malignant tumors (giant cell tumor, chordoma, chondro-sarcoma and plasmacytoma). Neck pain was the constant complaint of all patients. In addition, 5 patients suffered from myelopathy while 2 patients had radiculopathy. Anterior corpectomy and fusion was performed in four cases, while in 2 patients, only posterior approach was adopted. In the other 2 patients, combined anterior and posterior approaches were adopted. Postoperatively, 6 patients had the same preoperative Frankel grade (4 were grade E, 1 was D and 1 was C), while 2 patients improved (25%) (1 improved from D to E and 1 from C to D). The average VAS improved from 5±1.5 (range 3-8) preoperatively to 2.4±1.7 (range 1-5) postoperatively at last follow-up. The 4 patients with benign tumors are doing well (Frankel grade E). In contrast, 3 out of 4 patients with malignant tumors died within 12-16 m later, the survival of malignant tumors is 25% at 3 years. Conclusion: Marginal piecemeal resection and cervical instrumentation and fusion is a safe and effective method in management of benign osseous cervical tumors. However, the results are poor for malignant tumors even with adjuvant therapy. (2013ESJ051)
format	article
author	Mohamed El-Gaidi Ehab Eissa
author_facet	Mohamed El-Gaidi Ehab Eissa
author_sort	Mohamed El-Gaidi
title	Primary Osseous Tumors of the Subaxial Cervical Spine, Clinical Case Series
title_short	Primary Osseous Tumors of the Subaxial Cervical Spine, Clinical Case Series
title_full	Primary Osseous Tumors of the Subaxial Cervical Spine, Clinical Case Series
title_fullStr	Primary Osseous Tumors of the Subaxial Cervical Spine, Clinical Case Series
title_full_unstemmed	Primary Osseous Tumors of the Subaxial Cervical Spine, Clinical Case Series
title_sort	primary osseous tumors of the subaxial cervical spine, clinical case series
publisher	Egyptian Spine Association
publishDate	2013
url	https://doaj.org/article/865dfcc498a943bd8821e4a155f0cf09
work_keys_str_mv	AT mohamedelgaidi primaryosseoustumorsofthesubaxialcervicalspineclinicalcaseseries AT ehabeissa primaryosseoustumorsofthesubaxialcervicalspineclinicalcaseseries
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Primary Osseous Tumors of the Subaxial Cervical Spine, Clinical Case Series

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