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논문 기본 정보

자료유형
학술저널
저자정보
Park, Ho-Young (Department of Neurosurgery, Spine Center, Samsung Medical Center, Sungkyunkwan University School of Medicine) Lee, Sun-Ho (Department of Neurosurgery, Spine Center, Samsung Medical Center, Sungkyunkwan University School of Medicine) Park, Se-Jun (Department of Orthopedic Surgery, Spine Center, Samsung Medical Center, Sungkyunkwan University School of Medicine) Kim, Eun-Sang (Department of Neurosurgery, Spine Center, Samsung Medical Center, Sungkyunkwan University School of Medicine) Lee, Chong-Suh (Department of Neurosurgery, Spine Center, Samsung Medical Center, Sungkyunkwan University School of Medicine) Eoh, Whan (Department of Neurosurgery, Spine Center, Samsung Medical Center, Sungkyunkwan University School of Medicine)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제57권 제1호
발행연도
2015.1
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42 - 49 (8page)

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Objective : The cervicothoracic junction (CTJ) is a biomechanically and anatomically complex region that has traditionally posed problems for surgical access. In this retrospective study, we describe our clinical experiences of the treatment of metastatic spinal tumors at the CTJ and the results. Methods : From June 2006 to December 2011, 23 patients who underwent surgery for spinal tumors involving the CTJ were enrolled in our study. All of the patients were operated on through the posterior approach, and extent of resection was classified as radical, debulking, and simple neural decompression. Adjuvant radiation therapy (RT) was also considered. Visual analog scale score for pain assessment and Medical Research Council (MRC) grade for motor weakness were used, while pre- and post-operative performance status was evaluated using the Eastern Cooperative Oncology Group (ECOG). Results : Almost all of the patients were operated using palliative surgical methods (91.3%, 21/23). Ten complications following surgery occurred and revision was performed in four patients. Of the 23 patients of this study, 22 showed significant pain relief according to their visual analogue scale scores. Concerning the aspect of neurological and functional recovery, mean MRC grade and ECOG score was significantly improved after surgery (p<0.05). In terms of survival, radiation therapy had a significant role. Median overall survival was 124 days after surgery, and the adjuvant-RT group (median 214 days) had longer survival times than prior-RT (63 days) group. Conclusion : Although surgical procedure in CTJ may be difficult, we expect good clinical results by adopting a palliative posterior surgical method with appropriate preoperative preparation and postoperative treatment.
#Metastatic spinal tumor #Cervicothoracic junction #Treatment

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참고문헌 (35)

참고문헌 신청
An HS. / 1994 / Spinal disorders at the cervicothoracic junction / Spine(Phila Pa 1976) 19:2557~2564 google schola Boockvar JA. / 2001 / Results and risk factors for anterior cervicothoracic junction surgery / J Neurosurg 94(1 Suppl):12~17 google schola Cauchoix J. / 1957 / Anterior surgical approaches to the spine / Ann R Coll Surg Engl 21:237~243 google schola Chaichana KL. / 2008 / Predictors of ambulatory function after decompressive surgery for metastatic epidural spinal cord compression / Neurosurgery 62:683~692 google schola Cho W. / 2012 / Neurological and survival outcomes after surgical management of subaxial cervical spine metastases / Spine (Phila Pa 1976) 37:E969~E977 google schola

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