Skip to main content
Erschienen in: European Spine Journal 4/2018

17.08.2017 | Original Article

Surgical complications of extraspinal tumors in the cervical spine: a report of 110 cases and literature review

verfasst von: WenHua Yang, Liang Jiang, XiaoGuang Liu, Feng Wei, Miao Yu, FengLiang Wu, Lei Dang, Hua Zhou, Hua Zhang, ZhongJun Liu

Erschienen in: European Spine Journal | Ausgabe 4/2018

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To assess the safety of surgical intervention for extraspinal tumors in the cervical spine.

Methods

110 consecutive patients were enrolled and followed-up at least 12 months or until death. The complication rates and risk factors were documented and analyzed.

Results

The quality of life in the surviving patients was significantly improved. The overall local recurrence rate was 17.3%. Twenty percent of patients developed distant metastasis. The perioperative mortality rate (30 days after surgery) was 0.9%. The complication related mortality was 1.8%. The rates of overall complication and major complication were 41.8% and 20.9%, respectively. The independent predictors for overall complications were Karnofsky score <60, multisegmental resection, and operation time >3 h. The independent predictors of major complications were comorbidity, tumor location at C1–C2, and combined approach.

Conclusions

Surgery for cervical spine tumor could improve the quality of life, though it might be accompanied with high morbidity and mortality. It is a highly demanding procedure; however, it can be performed to an acceptable degree of safety.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
4.
Zurück zum Zitat Ibrahim A, Crockard A, Antonietti P et al (2008) Does spinal surgery improve the quality of life for those with extradural (spinal) osseous metastases? An international multicenter prospective observational study of 223 patients. J Neurosurg Spine 8:271–278. doi:10.3171/SPI/2008/8/3/271 CrossRefPubMed Ibrahim A, Crockard A, Antonietti P et al (2008) Does spinal surgery improve the quality of life for those with extradural (spinal) osseous metastases? An international multicenter prospective observational study of 223 patients. J Neurosurg Spine 8:271–278. doi:10.​3171/​SPI/​2008/​8/​3/​271 CrossRefPubMed
8.
Zurück zum Zitat Denaro V, Di Martino A, Papalia R, Denaro L (2011) Patients with cervical metastasis and neoplastic pachymeningitis are less likely to improve neurologically after surgery. Clin Orthop Relat Res 469:708–714. doi:10.1007/s11999-010-1617-9 CrossRefPubMed Denaro V, Di Martino A, Papalia R, Denaro L (2011) Patients with cervical metastasis and neoplastic pachymeningitis are less likely to improve neurologically after surgery. Clin Orthop Relat Res 469:708–714. doi:10.​1007/​s11999-010-1617-9 CrossRefPubMed
12.
Zurück zum Zitat Yasuda M, Bresson D, Chibbaro S et al (2012) Chordomas of the skull base and cervical spine: clinical outcomes associated with a multimodal surgical resection combined with proton-beam radiation in 40 patients. Neurosurg Rev 35:171–183. doi:10.1007/s10143-011-0334-5 CrossRefPubMed Yasuda M, Bresson D, Chibbaro S et al (2012) Chordomas of the skull base and cervical spine: clinical outcomes associated with a multimodal surgical resection combined with proton-beam radiation in 40 patients. Neurosurg Rev 35:171–183. doi:10.​1007/​s10143-011-0334-5 CrossRefPubMed
19.
Zurück zum Zitat Vanek P, Bradac O, Trebicky F et al (2015) Influence of the preoperative neurological status on survival after the surgical treatment of symptomatic spinal metastases with spinal cord compression. Spine (Phila Pa 1976) 40:1824–1830. doi:10.1097/BRS.0000000000001141 Vanek P, Bradac O, Trebicky F et al (2015) Influence of the preoperative neurological status on survival after the surgical treatment of symptomatic spinal metastases with spinal cord compression. Spine (Phila Pa 1976) 40:1824–1830. doi:10.​1097/​BRS.​0000000000001141​
23.
Zurück zum Zitat Boriani S, Weinstein JN, Biagini R (1997) Primary bone tumors of the spine. Terminology and surgical staging. Spine (Phila Pa 1976) 22:1036–1044CrossRef Boriani S, Weinstein JN, Biagini R (1997) Primary bone tumors of the spine. Terminology and surgical staging. Spine (Phila Pa 1976) 22:1036–1044CrossRef
Metadaten
Titel
Surgical complications of extraspinal tumors in the cervical spine: a report of 110 cases and literature review
verfasst von
WenHua Yang
Liang Jiang
XiaoGuang Liu
Feng Wei
Miao Yu
FengLiang Wu
Lei Dang
Hua Zhou
Hua Zhang
ZhongJun Liu
Publikationsdatum
17.08.2017
Verlag
Springer Berlin Heidelberg
Erschienen in
European Spine Journal / Ausgabe 4/2018
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-017-5259-4

Weitere Artikel der Ausgabe 4/2018

European Spine Journal 4/2018 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.