Indian Spine Journal最新文献_第6页

Outcomes of surgical treatment in spinal metastasis 脊柱转移瘤的手术治疗结果

Indian Spine Journal Pub Date : 2022-07-01 DOI: 10.4103/isj.isj_16_22

Nischal Ghimire, Venkatesh Krishnan

引用次数: 0

Systemic therapies for the management of cancers with spinal metastases 脊柱转移性癌症的全身治疗

Indian Spine Journal Pub Date : 2022-07-01 DOI: 10.4103/isj.isj_78_21

Mohan Menon, G. Zaveri

引用次数: 0

Epidural angiolipoma and Andersson lesion: A rare co-occurence—A case report and literature review 硬膜外血管脂肪瘤合并Andersson病变:罕见的合并症1例报告并文献复习

Indian Spine Journal Pub Date : 2022-07-01 DOI: 10.4103/isj.isj_47_21

S. Vijayan, Christopher Gerber, Anindya Basu, Garga Basu, Radhika Mhatre

引用次数: 0

Surgical management of aggressive vertebral hemangioma: Case series and review of literature 侵袭性椎体血管瘤的外科治疗:病例系列和文献回顾

Indian Spine Journal Pub Date : 2022-07-01 DOI: 10.4103/isj.isj_48_21

Selvin Prabhakar, Christopher Gerber, Anindya Basu, Dipendra Pradhan, S. Purkayastha

{"title":"Surgical management of aggressive vertebral hemangioma: Case series and review of literature","authors":"Selvin Prabhakar, Christopher Gerber, Anindya Basu, Dipendra Pradhan, S. Purkayastha","doi":"10.4103/isj.isj_48_21","DOIUrl":"https://doi.org/10.4103/isj.isj_48_21","url":null,"abstract":"Background: This study includes management of aggressive vertebral hemangioma (VH). VH is the most common primary tumor affecting the vertebral column. In 0.9–1.2% of patients, VH can become symptomatic and is termed as “aggressive vertebral hemangiomas.” They usually require surgery along with adjuvant modalities. Due to its relatively low incidence, there is sparse reporting in the open literature and lack of universal consensus on treatment protocol. We would like to present our institutional experience in managing aggressive VH by surgery along with adjuvant modalities and a comprehensive review of the literature. Materials and Methods: A retrospective review of records of VH cases managed surgically in the past 3 years at our institute was done. All the relevant records and imaging of the patients were retrieved. Results: Five patients were included in the study. All were male with four dorsal and one lumbar lesion. All were treated with surgery along with an adjuvant therapy. Selective arterial embolization was used in one patient, alcohol ablation in three, and vertebroplasty in one. Only one patient had gross total resection, and others had only decompression. Fixation was done in all. All showed good clinical improvement without any complications, except in one. Conclusion: Aggressive VH often requires surgery. Currently, a decompression surgery is preferred due to less morbidity with good clinical outcomes. Various adjuvant therapies have been described in literature to be used perioperatively; yet there is no universal consensus on a standard protocol. Each of them has its own advantages and limitations and thus needs to be carefully selected on an individual basis. Alcohol ablation is an established adjuvant modality, but has to be used with caution.","PeriodicalId":34652,"journal":{"name":"Indian Spine Journal","volume":"5 1","pages":"222 - 230"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43228143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Radiotherapy for spinal metastasis: A narrative review 放疗治疗脊柱转移:一个叙述性的回顾

Indian Spine Journal Pub Date : 2022-07-01 DOI: 10.4103/isj.isj_79_21

R. Balakrishnan, P. Sebastian, G. Zaveri

{"title":"Radiotherapy for spinal metastasis: A narrative review","authors":"R. Balakrishnan, P. Sebastian, G. Zaveri","doi":"10.4103/isj.isj_79_21","DOIUrl":"https://doi.org/10.4103/isj.isj_79_21","url":null,"abstract":"Despite the rapid evolution of systemic therapies and significant advances in surgical techniques, radiation therapy by itself or as an adjuvant to surgery remains the modality of choice for local control of spinal metastasis. Radiation can be used with an ablative intent for lasting local control of spinal metastasis or with a palliative intent to ameliorate pain, prevent pathological fractures, and relieve epidural spinal cord compression. This article aims to review the various modalities of radiotherapy. The lack of precision with conventional external beam radiotherapy (cEBRT) poses a significant radiation hazard to vital structures adjacent to the spine. This necessitates lowering of the radiation dosage, which may not be adequate to treat certain resistant tumors. Currently, the use of cEBRT is recommended for radiosensitive histologies only. Stereotactic body radiotherapy (SBRT) allows tumoricidal doses of radiation to be safely delivered to the tumor tissue. SBRT has been shown to provide durable local control, even for spine metastasis from tumors with radioresistant histologies. SBRT can also be offered as a reirradiation technique for tumor progression following a course of cEBRT. Currently, SBRT alone is recommended for radioresistant spinal metastasis limited to 1–2 spinal segments, with limited paraspinal spread and mild-to-moderate spinal cord compression in a stable spine. Charged particle therapy is useful for resistant histologies and further reduces the dose to normal structures within the vicinity of the tumor.","PeriodicalId":34652,"journal":{"name":"Indian Spine Journal","volume":"5 1","pages":"185 - 192"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45545992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Spinal metastases: Clinical scenarios 脊柱转移:临床情况

Indian Spine Journal Pub Date : 2022-07-01 DOI: 10.4103/isj.isj_98_21

G. Zaveri, Venkatesh Krishnan

引用次数: 0

An operative technique for management of neglected bi-facetal cervical dislocations 一种治疗被忽视的双侧颈椎脱位的手术技术

Indian Spine Journal Pub Date : 2022-07-01 DOI: 10.4103/isj.isj_60_21

Pawar Jayesh, B. Mihir, Gujral Amandeep, Bharat K. Patel, Upadhyay Arpit

{"title":"An operative technique for management of neglected bi-facetal cervical dislocations","authors":"Pawar Jayesh, B. Mihir, Gujral Amandeep, Bharat K. Patel, Upadhyay Arpit","doi":"10.4103/isj.isj_60_21","DOIUrl":"https://doi.org/10.4103/isj.isj_60_21","url":null,"abstract":"Background: Bi-facetal cervical dislocations can be missed due to misinterpretation of clinical signs and radiographs at initial assessment. In such cases, an ensuing fibrous union makes reduction and surgical stabilization both difficult and challenging. Multiple-stage approaches are required for its management. The guidelines for the surgical treatment of neglected bi-facetal dislocation are not yet clearly defined. The aim of this retrospective case series is to discuss the operative approach for the management of neglected bi-facetal cervical dislocation and the assessment of its clinical outcomes. Methods and Materials: From 2014 to 2019, five patients with neglected bi-facetal cervical dislocation were surgically treated in two stages by the posterior-anterior approach and were followed up for one year. The average age was 47.4 years, with a mean delay of 9.8 weeks. A posterior approach was preferred first, where a reduction was achieved with the help of lateral mass reduction screws after soft tissue release and facetectomy. This was followed by anterior discectomy and stabilization. Neck pain was assessed by the neck disability index (NDI) and the Visual analogue score (VAS). Neurology was assessed by using the modified Japanese Orthopaedic Association (mJOA) score. Sagittal alignment and fusion were also recorded. Results: Anatomical reduction was achieved in all patients without neurological worsening. NDI, VAS and mJOA score were significantly improved after the surgery. In all patients, complete fusion occurred at the final follow-up and no complications were encountered. Conclusion: It is difficult to reduce a neglected bi-facetal dislocation. Liberal facetectomy and the use of reduction lateral mass screws provides for a safe and controlled reduction. The reported two-stage technique successfully achieves an anatomical reduction and a stable circumferential fusion.","PeriodicalId":34652,"journal":{"name":"Indian Spine Journal","volume":"5 1","pages":"215 - 221"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41846576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The correlation between lumbosacral transitional anatomy and pars defect 腰骶部移行解剖与骨部缺损的关系

Indian Spine Journal Pub Date : 2022-07-01 DOI: 10.4103/isj.isj_59_21

G. Gonzales-Portillo, M. Avila, Omar Rizvi, T. Dumont

引用次数: 0

Concepts, rationale, and techniques of the open approach in the surgical management of metastatic spine disease 脊柱转移性疾病手术治疗开放入路的概念、原理和技术

Indian Spine Journal Pub Date : 2022-07-01 DOI: 10.4103/isj.isj_73_21

Naresh Kumar, Sean Lee, Sridharan Alathur Ramakrishnan, A. Thomas, Sarah Tang, B. Vellayappan

{"title":"Concepts, rationale, and techniques of the open approach in the surgical management of metastatic spine disease","authors":"Naresh Kumar, Sean Lee, Sridharan Alathur Ramakrishnan, A. Thomas, Sarah Tang, B. Vellayappan","doi":"10.4103/isj.isj_73_21","DOIUrl":"https://doi.org/10.4103/isj.isj_73_21","url":null,"abstract":"Advancements in medical therapy have led to the increased incidence of metastatic spine tumor surgery (MSTS) owing to the increased survivability of cancer patients. Over the years, surgical techniques have evolved from simple laminectomy to advanced radical surgery with reconstruction. Surgery with radiotherapy (RT) and chemotherapy have been established as key paradigms for the management of metastatic spine disease (MSD). In general, surgical treatment is split into two categories, open and minimally invasive. Decompression and stabilization form the basis of the common surgical techniques for managing MSD. Pedicle screw-rod instrumentation forms the basis of fixation, whereas decompression can be achieved through techniques such as laminectomy, separation surgery, partial corpectomy, near piecemeal corpectomy, or en bloc corpectomy. However, complications such as infection, wound dehiscence, and instrument failure remain the challenges of MSTS. This gives the need for auxiliary techniques and advancements to improve the efficacy of MSTS and reduce complications. Recent advancements such as intraoperative cell salvage in MSTS have reduced the need for allogenic blood transfusion, thus reducing the risk of infection and other complications. Additionally, implant materials such as carbon-fiber-reinforced polyether–ether-ketone (PEEK) and titanium-coated PEEK with better biocompatibility, imaging, and RT compatibility have been explored for use in MSTS. Current trends in MSTS are shifting toward minimally invasive surgery (MIS); however, open surgery remains the “gold standard.” Open surgery is preferred in cases with compromised visibility, i.e., hypervascular tumor secondaries and in regions of spinal column with limited access where the MIS approach is likely to be dangerous. We recommend that all spine surgeons be familiar with the concepts and techniques of open surgery for MSD.","PeriodicalId":34652,"journal":{"name":"Indian Spine Journal","volume":"5 1","pages":"158 - 167"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47974635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Brucellosis sacroiliitis masquerading as inflammatory spondyloarthropathy 伪装成炎性脊椎关节病的布鲁氏菌病骶髂关节炎

Indian Spine Journal Pub Date : 2022-07-01 DOI: 10.4103/isj.isj_38_21

Alok Gupta, A. Shyam, P. Sancheti, S. Aiyer

引用次数: 1