远节段转移性疾病病理性骨折的脊柱稳定:1例报告

Q4 Medicine Medicinski Casopis Pub Date : 2021-01-01 DOI:10.5937/mckg55-31873
Ivan Stojadinovic, J. Milosevic, Srđan Vlajović, Z. Jovanović, N. Prodanović, Dušan Todorović
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引用次数: 1

摘要

大约2/3的恶性肿瘤会发生转移。骨骼系统是第三个最常见的转移部位,其中脊柱在患病率方面排名第一。骨骼转移可以发生在所有类型的恶性肿瘤中,乳房是最常见的转移灶之一。椎体骨折的治疗可分为非手术和手术两种。尽管许多研究表明非手术治疗和手术治疗都有好处,但根据情况,其中一些研究建议手术治疗是保持患者活动能力的更好方法。患者在被诊断为第7颈椎和第12胸椎病理性骨折时,因背部疼痛联系了脊柱外科医生。在两个时间间隔内对两例骨折进行手术治疗。鉴于恶性疾病治疗的进步,今天脊椎转移的患者比历史上任何时候都多。不稳定的病理性骨折需手术治疗,而稳定骨折无脱位的患者只能接受化疗和放疗。这个病人的表现表明病理上不稳定的椎体骨折是如何在几个层次上治疗的。操作方法和操作技术一样不同。手术治疗和早期康复后,患者的临床表现和生活质量均有显著改善。
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Spinal stabilization of pathological fractures in metastatic disease in distant segments: A case report
About 2/3 of malignant tumors develop metastases. The skeletal system is the third most common site of metastases, of which the spine takes the first place in terms of prevalence. Skeletal metastases can occur in all types of malignant tumors, and the breast is one of the most common localizations. Treatment of vertebral fractures can be non-operative and operative. Although numerous studies have shown the benefits of both non-operative and operative treatments, depending on the situation, several of them have recommended a surgical approach as a better way to preserve the patient's mobility. The patient contacted a spinal surgeon due to back pain when she was diagnosed with a pathological fracture of the 7th cervical and 12th thoracic vertebrae. Both fractures were operatively treated, in two time intervals. Given the advances in the treatment of malignant diseases, more people with spinal metastases live today than ever before in history. Patients with unstable pathological fractures are treated surgically, while patients who have stable fractures without dislocations can be treated only with chemotherapy and radiotherapy. The presentation of this patient showed how pathologically unstable vertebral fractures were treated on several levels. Operational approaches were as different as operational techniques. After the surgical treatment and an early rehabilitation, there was a significant improvement in the clinical picture and quality of life of the patient.
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Medicinski Casopis
Medicinski Casopis Medicine-Medicine (all)
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