Total En Bloc Spondylectomy for Spinal Tumors: Surgical Techniques and Related Basic Background

Orthopedic Clinics of North America

Volumn 40, Issue 1, 2009, Pages 47-63

  Kawahara, Norio ^a   Tomita, Katsuro ^a   Murakami, Hideki ^a   Demura, Satoru ^a  

^a KANAZAWA UNIVERSITY GRADUATE SCHOOL OF MEDICAL SCIENCE   (Japan)

Author keywords

Oncologic resection; Spinal tumors; Total en bloc spondylectomy

Indexed keywords

ANTINEOPLASTIC AGENT; CISPLATIN;

ANESTHESIA; ARTIFICIAL EMBOLISM; BIOMECHANICS; CANCER GRADING; CANCER RADIOTHERAPY; CANCER RISK; HUMAN; LAMINECTOMY; POSTOPERATIVE CARE; PRIORITY JOURNAL; REVIEW; SPINAL CORD ISCHEMIA; SPINAL CORD LESION; SPINAL CORD TUMOR; SURGICAL ANATOMY; SURGICAL TECHNIQUE; TOTAL EN BLOC SPONDYLECTOMY; TUMOR CLASSIFICATION;

ADULT; FEMALE; HUMANS; INTRAOPERATIVE COMPLICATIONS; ORTHOPEDIC PROCEDURES; POSTOPERATIVE CARE; SPINAL NEOPLASMS; SPINE;

EID: 57049167629     PISSN: 00305898     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ocl.2008.09.004     Document Type: Review

References (42)

1. Fujita T., Ueda Y., Kawahara N., et al. Local spread of metastatic vertebral tumors. A histologic study. Spine 22 16 (1997) 1905-1912
2. Tomita K., Kawahara N., Baba H., et al. Total en bloc spondylectomy for solitary spinal metastasis. Int Orthop 18 (1994) 291-298
3. Tomita K., Kawahara N., Baba H., et al. Total en bloc spondylectomy. A new surgical technique for primary malignant vertebral tumors. Spine 22 (1997) 324-333
4. Roy-Camille R., Mazel C.H., Saillant G., et al. Treatment of malignant tumor of the spine with posterior instrumentation. In: Sundaresan N., Schmidek H.H., Schiller A.L., and Rosenthal D.I. (Eds). Tumors of the spine (1990), WB Saunders, Philadelphia 473-487
5. Roy-Camille R., Saillant G., Bisserie M., et al. Resection vertebrale totale dans la chirurgie tumorale au niveau du rachis dorsal par voie posterieure pure. Rev Chir Orthop 67 (1981) 421-430
6. Stener B. Total spondylectomy in chondrosarcoma arising from the seventh thoracic vertebra. J Bone Joint Surg Br 53 (1971) 288-295
7. Stener B. Complete removal of vertebrae for extirpation of tumors. Clin Orthop 245 (1989) 72-82
8. Stener B. Technique of complete spondylectomy in the thoracic and lumbar spine. In: Sundaresan N., Schmidek H.H., Schiller A.L., and Rosenthal D.I. (Eds). Tumors of the spine (1990), WB Saunders, Philadelphia 432-437
9. Stener B., and Johnsen O.E. Complete removal of three vertebrae for giant cell tumour. J Bone Joint Surg Br 53 (1971) 278-287
10. Sundaresan N., Rosen G., Huvos A.G., et al. Combined treatment of osteosarcoma of the spine. Neurosurgery 23 (1988) 714-719
11. Boriani S., Biagini R., De Iure F., et al. Vertebrectomia lombare per neoplasia ossea: tecnica chirurgica. Chir Organi Mov 79 (1994) 163-173
12. Boriani S., Chevalley F., Weinstein J.N., et al. Chordoma of the spine above the sacrum. Treatment and outcome in 21 cases. Spine 21 (1996) 1569-1577
13. Kawahara N., Tomita K., Fujita T., et al. Osteosarcoma of the thoracolumbar spine. Total en bloc spondylectomy. A case report. J Bone Joint Surg Am 79 (1997) 453-458
14. Kawahara N., Tomita K., Murakami H., et al. Total en bloc spondylectomy for spinal metastases. In: Jasmin C., Coleman R.E., Coia L.R., Capanna R., and Saillant G. (Eds). The textbook of bone metastases (2005), John Wiley & Sons Ltd, Chichester, West Sussex, England 215-223
15. Kawahara N., Tomita K., and Tsuchiya H. Total en bloc spondylectomy: a new surgical technique for malignant vertebral tumors. In: Watkins R.G. (Ed). Surgical approach to the spine. 2nd edition (2003), Springer-Verlag, New York 309-325
16. Murakami H., Kawahara N., Abdel-Wanis M.E., et al. Total en bloc spondylectomy. Semin Musculoskelet Radiol 5 2 (2001) 189-194
17. Tomita K., Toribatake Y., Kawahara N., et al. Total en bloc spondylectomy and circumspinal decompression for solitary spinal metastasis. Paraplegia 32 (1994) 36-46
18. Tomita K., Kawahara N., Murakami H., et al. Total en bloc spondylectomy for spinal tumors: improvement of the technique and its associated basic background. J Orthop Sci 11 1 (2006) 3-12
19. Tomita K., Kawahara K., Kobayashi T., et al. Surgical strategy for spinal metastases. Spine 26 (2001) 298-306
20. Tomita K., and Kawahara N. The threadwire saw: a new device for cutting bone. J Bone Joint Surg Am 78 (1996) 1915-1917
21. Adachi B. Das Arteriensystem der Japaner (1928), Maruzen Publishing, Kyoto Tokyo
22. Kawahara N., Tomita K., Baba H., et al. Cadaveric vascular anatomy for total en bloc spondylectomy in malignant vertebral tumors. Spine 21 (1996) 1401-1407
23. Tomita K., Kawahara N., Baba H., et al. Circumspinal decompression for thoracic myelopathy due to combined ossification of the posterior longitudinal ligament and ligamentum flavum. Spine 15 11 (1990) 1114-1120
24. Akamaru T., Kawahara N., Sakamoto J., et al. Transmission of the load sharing inside a titanium mesh cage used in anterior column reconstruction after total spondylectomy; a finite element analysis. Spine 30 24 (2005) 2783-2787
25. Akamaru T., Kawahara N., Tsuchiya H., et al. Healing of autogenous bone in a titanium mesh cage used in anterior column reconstruction after total spondylectomy. Spine 27 13 (2002) E329-E333
26. Kawahara N., Tomita K., Kobayashi T., et al. Influence of acute shortening on the spinal cord. An experimental study. Spine 30 6 (2005) 613-620
27. Numbu K., Kawahara N., Murakami H., et al. Interruption of bilateral segmental arteries at several levels. Influence on vertebral blood flow. Spine 29 14 (2004) 1530-1534
28. Ueda Y., Kawahara N., Tomita K., et al. Influence on spinal cord blood flow and spinal cord function by interruption of bilateral segmental arteries at up to three levels: experimental study in dogs. Spine 30 20 (2005) 2239-2243
29. Winter R.B., Denis F., Lonstein J.L., et al. Techniques of surgery: anatomy of thoracic intercostal and lumbar arteries. In: Lonstein J.L., Bradford D.S., Winter R.B., and Ogilvie J.W. (Eds). Moe's textbook of scoliosis and other spinal deformities. 3rd edition (1994), WB Saunders, Philadelphia 196-198
30. Woodard J.S., and Freeman L.W. Ischemia of the spinal cord. J Neurosurg 13 (1956) 63-72
31. Fujimaki Y., Kawahara N., Tomita K., et al. How many ligations of bilateral segmental arteries cause ischemic spinal cord dysfunction? An experimental study using a dog model. Spine 31 21 (2006) E781-E789
32. Toribatake Y. The effect of total en bloc spondylectomy on spinal cord circulation. J Jpn Orthop Assoc 67 (1993) 1070-1080 [in Japanese]
33. Kato S., Kawahara N., Tomita K., et al. Effects on spinal cord blood flow and neurologic function secondary to interruption of bilateral segmental arteries which supply the artery of Adamkiewicz: an experimental study using a dog model. Spine 33 14 (2008) 1533-1541
34. Yosizawa H. Blood supply of spinal cord and nerve root. Its clinical meaning. J Centr Jpn Orthop Traum 31 1 (1988) 1-13 [in Japanese]
35. Abdel-Wanis M.E., Tsuchiya H., Kawahara N., et al. Tumor growth potential after tumoral and instrumental contamination: an in-vivo comparative study of T-saw, Gigli saw, and scalpel. J Orthop Sci 6 (2001) 424-429
36. Kose H., Kawahara N., and Tomita K. Local irrigation with cisplatin following resection of malignant vertebral tumors. J Japan Spine Res Soc 10 2 (1999) 358-364 [in Japanese]
37. Carlson G.D., Warden K.E., Barbeau J.M., et al. Viscoelastic relaxation and regional blood flow response to spinal cord compression and decompression. Spine 22 (1997) 1285-1291
38. Ducker T.B., Salcman M., Lucas J.T., et al. Experimental spinal cord trauma. II: blood flow, tissue oxygen, evoked potentials in both paretic and plegic monkeys. Surg Neurol 10 (1978) 64-70
39. Holtz A., Nystrom B., and Gerdin B. Relationship between spinal cord blood flow and functional recovery after blocking weight-induced spinal cord injury in rats. Neurosurgery 26 (1990) 952-957
40. Ohashi T., Morimoto T., Kawata K., et al. Correlation between spinal cord blood flow and arterial diameter following acute spinal cord injury in rats. Acta Neurochir (Wien) 138 (1996) 322-329
41. Winter R.B. Spine update; neurologic safety in spinal deformity surgery. Spine 22 (1997) 1527-1533
42. Young W., and Flamm E.S. Effect of high-dose corticosteroid therapy on blood flow, evoked potentials, and extracellular calcium in experimental spinal injury. J Neurosurg 57 (1982) 667-673