Cervical Spine Reconstruction with Chest Tube Technique After Metastasis Resection: A Single-Center Experience.
Aged
Bone Cements
/ therapeutic use
Cervical Vertebrae
/ diagnostic imaging
Chest Tubes
Female
Follow-Up Studies
Humans
Male
Middle Aged
Polymethyl Methacrylate
/ administration & dosage
Prospective Studies
Plastic Surgery Procedures
/ instrumentation
Retrospective Studies
Spinal Neoplasms
/ diagnostic imaging
Survival Rate
/ trends
Cervical vertebrae
Chest tubes
Life expectancy
Polymethyl methacrylate
Spinal neoplasms
Survival rate
Journal
World neurosurgery
ISSN: 1878-8769
Titre abrégé: World Neurosurg
Pays: United States
ID NLM: 101528275
Informations de publication
Date de publication:
01 2022
01 2022
Historique:
received:
31
08
2021
revised:
17
09
2021
accepted:
18
09
2021
pubmed:
29
9
2021
medline:
18
1
2022
entrez:
28
9
2021
Statut:
ppublish
Résumé
The silastic tube technique, in which a chest tube is placed into the vertebral body defect and impregnated with polymethyl methacrylate, showed good results in patients with lumbar and thoracic neoplastic diseases. There has been only 1 study about the effectiveness and safety of this technique in patients with cervical metastases. We aimed to report our experience in using this technique to reconstruct the spine after corpectomy for cervical metastasis. All patients with cervical spinal metastasis who underwent surgical treatment using a chest tube impregnated with polymethyl methacrylate in conjunction with anterior cervical plate stabilization were retrospectively recruited. Demographics, tumor histology, revised Tokuhashi score, preoperative and postoperative American Spinal Injury Association score, preoperative and postoperative ambulatory status, perioperative complications, and survival time were collected. This study included 16 patients. The most common primary tumor site was the lung (6 patients; 37.5%). The mean (SD) survival time was 408 (795) days (range, 1-2797 days), and the median survival time was 72 days (95% confidence interval 28-116 days). Four patients (25%) died within 30 postoperative days. There was no surgical site infection or instrument failure after the surgery. Five patients (31.2%) lived >180 days, and 3 patients (18.8%) lived >360 days. One patient (6.2%) was still alive at the end of the study. The silastic tube technique in conjunction with anterior cervical plate stabilization might be safe, effective, and cost-effective for patients with cervical spine metastasis.
Sections du résumé
BACKGROUND
The silastic tube technique, in which a chest tube is placed into the vertebral body defect and impregnated with polymethyl methacrylate, showed good results in patients with lumbar and thoracic neoplastic diseases. There has been only 1 study about the effectiveness and safety of this technique in patients with cervical metastases. We aimed to report our experience in using this technique to reconstruct the spine after corpectomy for cervical metastasis.
METHODS
All patients with cervical spinal metastasis who underwent surgical treatment using a chest tube impregnated with polymethyl methacrylate in conjunction with anterior cervical plate stabilization were retrospectively recruited. Demographics, tumor histology, revised Tokuhashi score, preoperative and postoperative American Spinal Injury Association score, preoperative and postoperative ambulatory status, perioperative complications, and survival time were collected.
RESULTS
This study included 16 patients. The most common primary tumor site was the lung (6 patients; 37.5%). The mean (SD) survival time was 408 (795) days (range, 1-2797 days), and the median survival time was 72 days (95% confidence interval 28-116 days). Four patients (25%) died within 30 postoperative days. There was no surgical site infection or instrument failure after the surgery. Five patients (31.2%) lived >180 days, and 3 patients (18.8%) lived >360 days. One patient (6.2%) was still alive at the end of the study.
CONCLUSIONS
The silastic tube technique in conjunction with anterior cervical plate stabilization might be safe, effective, and cost-effective for patients with cervical spine metastasis.
Identifiants
pubmed: 34583005
pii: S1878-8750(21)01431-5
doi: 10.1016/j.wneu.2021.09.088
pii:
doi:
Substances chimiques
Bone Cements
0
Polymethyl Methacrylate
9011-14-7
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e49-e56Informations de copyright
Copyright © 2021 Elsevier Inc. All rights reserved.