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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Kim, Pius (Department of Neurosurgery, College of Medicine, Chosun University) Kim, Seok Won (Department of Neurosurgery, College of Medicine, Chosun University)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제60권 제2호
발행연도
2017.1
수록면
189 - 194 (6page)

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Objective : We evaluated the validity of bone cement-augmented percutaneous screw fixation for treating malignant spinal metastases. Methods : Between 2011 and 2015, 14 patients (eight men and six women) who underwent bone cement-augmented percutaneous screw fixation for malignant spinal metastases were enrolled in this study. Their life expectancy was considered to be more than one month and less than one year, based on the revised Tokuhashi scoring system. Clinical findings including the back pain scale score, functional outcome, procedure related complications, and survival were assessed preoperatively, postoperatively, and then six months after the procedure. Results : Twelve of the patients (86%) survived up to six months after the procedure. Three required mini-open decompressive laminectomy for severe epidural compression. Bone cement-augmented percutaneous screw fixation was performed one level above, one level below, and at the pathologic level itself. The mean operation time was 60 minutes (45-180) and blood loss was less than 100 mL. Prior to surgery, the mean pain score on the visual analogue scale was 8.8, while one month after the procedure, it had reduced to 3.0; this improvement was maintained until the six-month assessment in the surviving patients. All patients were able to sit within the first two days after surgery, and no patient experienced neurological deterioration at the one-month follow up after the surgery. No patient experienced screw loosening during the six months of follow-up. Asymptomatic cement leakage into the epidural space was observed in two patients, but no major complications were observed. Conclusion : For selected patients with malignant spinal metastases, bone cement-augmented percutaneous screw fixation can provide significant pain relief and improve quality of life.
#Screw #Metastasis #Percutaneous

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참고문헌 (15)

참고문헌 신청
Berenson J / 2011 / Balloon kyphoplasty versus non-surgical fracture management for treatment of painful vertebral body compression fractures in patients with cancer : a multicentre, randomised controlled trial / Lancet Oncol 12:225~235 google schola Böhm P / 2002 / The surgical treatment of bony metastases of the spine and limbs / J Bone Joint Surg Br 84:521~529 google schola Burval DJ / 2007 / Primary pedicle screw augmentation in osteoporotic lumbar vertebrae : biomechanical analysis of pedicle fixation strength / Spine 32:1077~1083 google schola Falicov A / 2006 / Impact of surgical intervention on quality of life in patients with spinal metastases / Spine 31:2849~2856 google schola Fourney DR / 2003 / Percutaneous vertebroplasty and kyphoplasty for painful vertebral body fractures in cancer patients / J Neurosurg 98(1 Suppl):21~30 google schola

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