Palliative posterior instrumentation versus corpectomy with cage reconstruction treatment for thoracolumbar pathological fracture

Basit Öğe Kaydı
dc.authoridÖzcan Kaya / 0000-0002-4547-3042
dc.authorscopusidÖzcan Kaya / 57200965763
dc.authorwosidÖzcan Kaya / AFR-4476-2022
dc.contributor.authorBayram, Serkan
dc.contributor.authorAkgül, Turgut
dc.contributor.authorAltan, Murat
dc.contributor.authorPehlivanoğlu, Tuna
dc.contributor.authorKaya, Özcan
dc.contributor.authorÖzdemir, Mustafa Abdullah
dc.contributor.authorSar, Cüneyt
dc.date.accessioned2020-08-30T20:06:53Z
dc.date.available2020-08-30T20:06:53Z
dc.date.issued2019
dc.departmentİstinye Üniversitesi, Hastaneen_US
dc.description.abstractStudy Design: Single-center, retrospective cohort study. Purpose: We aimed to evaluate and compare the clinical outcomes in patients who underwent palliative posterior instrumentation (PPI) versus those who underwent corpectomy with cage reconstruction (CCR) for thoracolumbar pathological fracture. Overview of Literature: The requirement for anterior support after corpectomy has been emphasized in the treatment of pathological fractures of the vertebrae. However, for patients with a relatively short life expectancy, anterior reconstruction may not be required and posterior instrumentation alone may provide adequate stabilization. Methods: A total of 43 patients with metastases of the thoracolumbar spine underwent surgery in the department of orthopaedic and traumatology of Istanbul University Faculty of Medicine from 2003 to 2016. Surgical outcomes were assessed on the basis of survival status, pre- and postoperative pain, complication rate, and operation time. Results: PPI was performed for 22 patients and CCR was performed for 21 patients. In the PPI group, the follow-up period of the five surviving patients was 32 months. The remaining 17 patients died with a mean survival duration of 12.3 months postoperatively. In the CCR group, the five surviving patients were followed up for an average of 14.1 months. The remaining 16 patients died with a mean survival duration of 18.7 months postoperatively. No statistically significant difference (p=0.812) was noted in the survival duration. The Visual Analog Scale scores of the patients were significantly reduced after both procedures, with no significant difference noted on the basis of the type of surgical intervention (p>0.05). The complication rate in the CCR group (33.3%) was higher compared with that in the PPI group (22.7%); however, this difference was not noted to be statistically significant (p=0.379). The average operation time in the PPI group (149 minutes) was significantly shorter (p=0.04) than that in the CCR group (192 minutes). Conclusions: The PPI technique can decompress the tumor for functional improvement and can stabilize the spinal structure to provide pain relief.en_US
dc.identifier.citationBayram, S., Akgul, T., Altan, M., Pehlivanoglu, T., Kaya, O., Ozdemir, M. A., & Sar, C. (2019). Palliative Posterior Instrumentation versus Corpectomy with Cage Reconstruction Treatment for Thoracolumbar Pathological Fracture. ASIAN SPINE JOURNAL, 13(2), 318–324. https://doi.org/10.31616/asj.2018.0153en_US
dc.identifier.doi10.31616/asj.2018.0153en_US
dc.identifier.endpage324en_US
dc.identifier.issn1976-1902en_US
dc.identifier.issn1976-7846en_US
dc.identifier.issue2en_US
dc.identifier.pmid30481977en_US
dc.identifier.scopus2-s2.0-85064892271en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage318en_US
dc.identifier.urihttps://doi.org/10.31616/asj.2018.0153
dc.identifier.urihttps://hdl.handle.net/20.500.12713/644
dc.identifier.volume13en_US
dc.identifier.wosWOS:000462917400019en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorKaya, Özcanen_US
dc.language.isoenen_US
dc.publisherKorean Soc Spine Surgeryen_US
dc.relation.ispartofAsian Spine Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectPathological Fractureen_US
dc.subjectPalliative Surgeryen_US
dc.subjectCorpectomyen_US
dc.subjectExpandable Cageen_US
dc.subjectSpinal Metastasesen_US
dc.titlePalliative posterior instrumentation versus corpectomy with cage reconstruction treatment for thoracolumbar pathological fractureen_US
dc.typeArticleen_US

Dosyalar

Orijinal paket
Listeleniyor 1 - 1 / 1
Küçük Resim
İsim:
H27.pdf
Boyut:
800.14 KB
Biçim:
Adobe Portable Document Format
Açıklama:
Tam Metin / Full Text
İndir

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
İSÜ Hastaneleri Makale Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu