Surgical Treatment of Metastatic Lesions at the Cervicothoracic Spinal Junction

Background Data: Metastatic spine disease continues to be an increasing burden. The cervicothoracic junction represents a transition from the semi rigid thoracic spine to the mobile sub axial cervical spine. Pathologic lesions are prone to result in kyphotic deformity as well as to the possibility o...

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Autores principales:	Tariq Awad, Salem Faisel
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2017
Materias:	Cervicothoracic spine instability metastases Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/acd1b6eb5db34758b3fdcd6f72f3858e
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spelling	oai:doaj.org-article:acd1b6eb5db34758b3fdcd6f72f3858e2021-12-02T04:47:04ZSurgical Treatment of Metastatic Lesions at the Cervicothoracic Spinal JunctionDOI:10.21608/ESJ.2017.71512314-89502314-8969https://doaj.org/article/acd1b6eb5db34758b3fdcd6f72f3858e2017-10-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_7151.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Metastatic spine disease continues to be an increasing burden. The cervicothoracic junction represents a transition from the semi rigid thoracic spine to the mobile sub axial cervical spine. Pathologic lesions are prone to result in kyphotic deformity as well as to the possibility of neurological deficits. Purpose: The aim of this study is to review our experience with surgical stabilization of metastatic lesions affecting the cervicothoracic junction (C7-T2). Study Design: A descriptive analytic cross section retrospective study involving 12 patients. Patients and Methods: The authors retrospectively reviewed their archive between February 2011 and July 2016, and twelve patients who were operated upon due to cervicothoracic junction metastasis were included. All patients underwent surgical treatment by either anterior corpectomy and fixation or posterior decompression and stabilization utilizing tapered rods. The patients were periodically followed up. Results: A total of twelve patients were included in this study including six males and six females. They had their primary in the breast in five patients, in the lung in three patients, in the prostate in two patients, and fro adenocarcinoma in two patients. The anterior approach was used in nine patients while the posterior approach was used in three patients. There was clinical improvement in neurological status according to Frankel grades of paraplegia in eleven of the twelve patients. There was no loss of correction in any patient of the study group. Conclusion: Patients with cervicothoracic metastatic lesions can be treated with either anterior or posterior approaches after considering each individual’s potential instability and disease burden. (2017ESJ135) Tariq AwadSalem FaiselEgyptian Spine AssociationarticleCervicothoracic spineinstabilitymetastasesNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 24, Iss 1, Pp 50-56 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Cervicothoracic spine instability metastases Neurology. Diseases of the nervous system RC346-429
spellingShingle	Cervicothoracic spine instability metastases Neurology. Diseases of the nervous system RC346-429 Tariq Awad Salem Faisel Surgical Treatment of Metastatic Lesions at the Cervicothoracic Spinal Junction
description	Background Data: Metastatic spine disease continues to be an increasing burden. The cervicothoracic junction represents a transition from the semi rigid thoracic spine to the mobile sub axial cervical spine. Pathologic lesions are prone to result in kyphotic deformity as well as to the possibility of neurological deficits. Purpose: The aim of this study is to review our experience with surgical stabilization of metastatic lesions affecting the cervicothoracic junction (C7-T2). Study Design: A descriptive analytic cross section retrospective study involving 12 patients. Patients and Methods: The authors retrospectively reviewed their archive between February 2011 and July 2016, and twelve patients who were operated upon due to cervicothoracic junction metastasis were included. All patients underwent surgical treatment by either anterior corpectomy and fixation or posterior decompression and stabilization utilizing tapered rods. The patients were periodically followed up. Results: A total of twelve patients were included in this study including six males and six females. They had their primary in the breast in five patients, in the lung in three patients, in the prostate in two patients, and fro adenocarcinoma in two patients. The anterior approach was used in nine patients while the posterior approach was used in three patients. There was clinical improvement in neurological status according to Frankel grades of paraplegia in eleven of the twelve patients. There was no loss of correction in any patient of the study group. Conclusion: Patients with cervicothoracic metastatic lesions can be treated with either anterior or posterior approaches after considering each individual’s potential instability and disease burden. (2017ESJ135)
format	article
author	Tariq Awad Salem Faisel
author_facet	Tariq Awad Salem Faisel
author_sort	Tariq Awad
title	Surgical Treatment of Metastatic Lesions at the Cervicothoracic Spinal Junction
title_short	Surgical Treatment of Metastatic Lesions at the Cervicothoracic Spinal Junction
title_full	Surgical Treatment of Metastatic Lesions at the Cervicothoracic Spinal Junction
title_fullStr	Surgical Treatment of Metastatic Lesions at the Cervicothoracic Spinal Junction
title_full_unstemmed	Surgical Treatment of Metastatic Lesions at the Cervicothoracic Spinal Junction
title_sort	surgical treatment of metastatic lesions at the cervicothoracic spinal junction
publisher	Egyptian Spine Association
publishDate	2017
url	https://doaj.org/article/acd1b6eb5db34758b3fdcd6f72f3858e
work_keys_str_mv	AT tariqawad surgicaltreatmentofmetastaticlesionsatthecervicothoracicspinaljunction AT salemfaisel surgicaltreatmentofmetastaticlesionsatthecervicothoracicspinaljunction
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Surgical Treatment of Metastatic Lesions at the Cervicothoracic Spinal Junction

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