6533b851fe1ef96bd12a9a10

RESEARCH PRODUCT

Decompression/Stabilization of the Metastatic Spine: Cotrel-Dubousset-Lnstrumentation in 50 Patients Jan

J. HeineP. EyselC. HopfJan D. Rompe

subject

AdultMaleReoperationmedicine.medical_specialtyDecompressionOrthoticsCotrel–Dubousset instrumentationThoracic VertebraePostoperative ComplicationsHumansMedicineOrthopedics and Sports MedicineRachisAgedFixation (histology)Aged 80 and overLumbar VertebraeSpinal Neoplasmsbusiness.industryMiddle Agedmedicine.diseaseSurgerySurvival RateSpinal FusionTreatment OutcomeOrthopedic surgeryFemaleSurgerybusinessParaplegiaComplicationFollow-Up Studies

description

50 patients with metastatic disease of the spine underwent dorsal decompression and stabilization with the Cotrel-Dubousset-Instrumentation from 1987 to 1991. Indications for surgical treatment were neurologic deficit, spinal instability, and/or pain resistant to medical or radiation treatment. No external orthotics were used postoperatively. Pain was relieved dramatically in 45 patients. Among 25 patients suffering from neurologic deficit preoperatively, 13 improved, 15 remained unchanged, whereas 2 developed an incomplete, transient paraplegia. 15 (7) patients were alive after 1 (2) years. Postoperative complications were frequent, but there were only 2 failures of the stabilization device requiring reoperation.

https://doi.org/10.3109/17453679308994516