Anterior rib strut grafting for the treatment of malignant lesions in the thoracic spine

Anterior stabilization during thoracotomy, using the patient's own ribs, was carried out seven times in six subjects with malignant lesions of the thoracic vertebrae. The primary malignancy was lung carcinoma in four cases, thyroid carcinoma in one case, and alveolar soft tissue sarcoma in one....

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Published inArchives of orthopaedic and trauma surgery Vol. 108; no. 5; p. 268
Main Authors Shirakusa, T, Motonaga, R, Yoshimine, K, Takada, S, Ueda, H, Yamasaki, S, Takachi, T, Yoh, S
Format Journal Article
LanguageEnglish
Published Germany 01.01.1989
Subjects
Adult
Aged
Female
Humans
Lung Neoplasms
Male
Middle Aged
Ribs - transplantation
Spinal Fusion
Spinal Neoplasms - secondary
Spinal Neoplasms - surgery
Thoracic Vertebrae
Thoracotomy
Thyroid Neoplasms
Transplantation, Autologous
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Summary:Anterior stabilization during thoracotomy, using the patient's own ribs, was carried out seven times in six subjects with malignant lesions of the thoracic vertebrae. The primary malignancy was lung carcinoma in four cases, thyroid carcinoma in one case, and alveolar soft tissue sarcoma in one. Resection of the lung tumor and spinal surgery were carried out simultaneously. Four of the six patients had complete paraplegia and two had partial paraplegia prior to the operation. After the decompression and anterior stabilization, three subjects responded well and three responded poorly because of respiratory insufficiency.
ISSN:0936-8051
DOI:10.1007/BF00932311