Total en bloc Spondylectomy. If not for primary malignant tumors, for what else then?. Sohail Bajammal, MBChB, MSc, FRCS(C) October 29, 2008. Above Knee Amputation.
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Total en bloc Spondylectomy
If not for primary malignant tumors,
for what else then?
Sohail Bajammal, MBChB, MSc, FRCS(C)
October 29, 2008
Nakamura S., Kusuzaki K., Murata H. et al. More than 10 years of follow-up of two patients after total femur replacement for malignant bone tumor. International Orthopaedics. 24(3):176-8, 2000.
Incidence: 2.5 to 8.5 cases per 100,000 persons / yr
Chi JH, Bydon A, Hsieh P, et al. Epidemiology and Demographics for Primary Vertebral Tumors. Neurosurgery Clinics of North America. 19(1): 1-4, 2008.
En bloc resection
Complete removal of the tumor without violation of its capsule, and with clearly defined normal tissue as margins
Ideal for primary malignant & locally aggressive tumors
Less risk of recurrence
Boriani et al. En bloc resections of bone tumors of the thoracolumbar spine. A preliminary report on 29 patients. Spine. 21(16):1927-31, 1996.
Hasegawa K, et al. Margin-free spondylectomy for extended malignant spine tumors: surgical technique and outcome of 13 cases. Spine. 32(1):142-8, 2007
Melcher I, et al. Primary malignant bone tumors and solitary metastases of the thoracolumbar spine: results by management with total en bloc spondylectomy. European Spine Journal. 2007.
Tomita K, et al. Total en bloc spondylectomy for spinal tumors: improvement of the technique and its associated basic background. Journal of Orthopaedic Science. 11(1):3-12, 2006.