Total en bloc lumbar spondylectomy

2001 ◽  
Vol 95 (2) ◽  
pp. 264-269 ◽  
Author(s):  
Eric Marmor ◽  
Laurence D. Rhines ◽  
Jeffrey S. Weinberg ◽  
Ziya L. Gokaslan
Keyword(s):  
Lumbar Spine ◽  
Posterior Approach ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Neurological Injury ◽  
En Bloc ◽  
Total En Bloc Spondylectomy ◽  
Content Type ◽  
Bloc Spondylectomy ◽  
Anterior Posterior

✓ The authors describe a technique for total en bloc spondylectomy that can be used for lesions involving the lumbar spine. The technique involves a combined anterior—posterior approach and takes into account the unique anatomy of the lumbar spine. This technique allows for the en bloc resection of lumbar vertebral tumors, thus optimizing outcome while minimizing the risk of neurological injury. The technique is described in detail with the aid of neuroimaging studies, photographs of gross pathological specimens, and illustrations, and a discussion of other authors' experiences is provided for comparison.

Total cervical spondylectomy for primary osteogenic sarcoma

2002 ◽  
Vol 97 (3) ◽  
pp. 386-392 ◽  
Author(s):  
Zvi R. Cohen ◽  
Daryl R. Fourney ◽  
Rex A. Marco ◽  
Laurence D. Rhines ◽  
Ziya L. Gokaslan
Keyword(s):  
Cervical Spine ◽  
Osteogenic Sarcoma ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Nerve Roots ◽  
En Bloc ◽  
Total En Bloc Spondylectomy ◽  
Content Type ◽  
Bloc Spondylectomy ◽  
Thoracic And Lumbar Spine

✓ The authors describe a technique for total spondylectomy for lesions involving the cervical spine. The method involves separately staged anterior and posterior approaches and befits the unique anatomy of the cervical spine. The procedure is described in detail, with the aid of radiographs, intraoperative photographs, and illustrations. Unlike in the thoracic and lumbar spine—for which methods of total en bloc spondylectomy have previously been described—a strictly en bloc resection is not possible in the cervical spine because of the need to preserve the vertebral arteries and the nerve roots supplying the upper limbs. Although the resection described in this case is by definition intralesional, it is oncologically sound, given the development of effective neoadjuvent chemotherapeutic regimens for osteosarcoma.

Simultaneous anterior—posterior approach for excision of malignant paraspinal tumor and subsequent reconstruction

1999 ◽  
Vol 91 (2) ◽  
pp. 236-240 ◽  
Author(s):  
Kazuhiro Hasegawa ◽  
Akira Ogose ◽  
Hiroto Kobayashi ◽  
Tetsuro Morita ◽  
Yasuharu Hirata
Keyword(s):  
Posterior Approach ◽  
Malignant Tumors ◽  
Lateral Position ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
En Bloc ◽  
Content Type ◽  
Spinal Reconstruction ◽  
The Right ◽  
Anterior Posterior

✓ In cases of primary malignant extradural tumors of the spine, the main goal of the surgery is en bloc resection and reconstruction of the spine. After placing the patient in the lateral position, an en bloc resection of a chondrosarcoma that arose from the right seventh rib head and invaded the adjacent vertebra was performed using a simultaneous anterior—posterior approach followed by spinal reconstruction. The technical details are reported. Paraspinal malignant tumors of the thoracic spine can be safely removed en bloc and the spine reconstructed using this approach.

scholarly journals Total en bloc spondylectomy for solitary spinal metastases

1996 ◽  
Vol 3 (2) ◽  
pp. 11-18
Author(s):  
K. Tomita ◽  
N. Kawahara ◽  
H. Baba ◽  
H. Tsuchiya ◽  
S. Nagata ◽  
...  
Keyword(s):  
Spinal Metastases ◽  
Lumbar Vertebrae ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
En Bloc ◽  
Wide Margin ◽  
Total En Bloc Spondylectomy ◽  
En Bloc Spondylectomy ◽  
Bloc Spondylectomy

We have developed a technique for total en bloc spondylectomy through a posterior approch and now report our experience of 20 patients with a solitary or localised metastasis in the thoracic or lumbar vertebrae. There are two steps: an en bloc laminectomy, followed by en bloc resection of the vertebral body with an oncological wide margin and the insertion of a vertebral prosthesis. Pain was relieved in the 17 patients who could be assessed; 11 of the 15 patients with a neurological deficit were much improved, impending paralysis being prevented in 5 patients. There have been no local recurrences. Nine patients are at present alive with a mean follow up of 17,4 months.

Left-posterior approach for artery-first en bloc resection in laparoscopic distal pancreatectomy for left-sided pancreatic cancer

2020 ◽  
Vol 405 (8) ◽  
pp. 1251-1258
Author(s):  
Kazuyuki Nagai ◽  
Gozo Kiguchi ◽  
Akitada Yogo ◽  
Takayuki Anazawa ◽  
Shintaro Yagi ◽  
...  
Keyword(s):  
Pancreatic Cancer ◽  
Distal Pancreatectomy ◽  
Posterior Approach ◽  
Laparoscopic Distal Pancreatectomy ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
En Bloc ◽  
Left Posterior ◽  
Artery First

En Bloc Resection of Vertebral Tumors of Thoracic and Lumbar Spine

2018 ◽  
Vol 40 (9) ◽  
pp. 1-8 ◽  
Author(s):  
Carlos Zamorano ◽  
Miguel Abdo ◽  
Javier Kelly ◽  
Gerardo Guinto ◽  
Alexis Del Real
Keyword(s):  
Lumbar Spine ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
En Bloc ◽  
Thoracic And Lumbar Spine

Total en bloc spondylectomy for locally aggressive and primary malignant tumors of the lumbar spine

2016 ◽  
Vol 25 (12) ◽  
pp. 4080-4087 ◽  
Author(s):  
Daniel M. Sciubba ◽  
Rafael De la Garza Ramos ◽  
C. Rory Goodwin ◽  
Risheng Xu ◽  
Ali Bydon ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Malignant Tumors ◽  
En Bloc ◽  
Total En Bloc Spondylectomy ◽  
En Bloc Spondylectomy ◽  
Bloc Spondylectomy

En bloc spondylectomy for treatment of tumor-induced osteomalacia

2009 ◽  
Vol 11 (5) ◽  
pp. 600-604 ◽  
Author(s):  
Daniel M. Sciubba ◽  
Rory J. Petteys ◽  
Sophia F. Shakur ◽  
Ziya L. Gokaslan ◽  
Edward F. McCarthy ◽  
...  
Keyword(s):  
Fibroblast Growth Factor 23 ◽  
Radical Resection ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Phosphaturic Mesenchymal Tumor ◽  
Spinal Segment ◽  
Spine Tumor ◽  
En Bloc ◽  
En Bloc Spondylectomy ◽  
Bloc Spondylectomy

En bloc spondylectomy represents a radical resection of a spinal segment most often reserved for patients presenting with a primary extradural spine tumor or a solitary metastasis in the setting of an indolent, well-controlled systemic malignancy. The authors report a case in which en bloc spondylectomy was conducted to control a metabolically active spine tumor. A 56-year-old woman, who suffered from severe tumor-induced osteomalacia, was found to have a fibroblast growth factor-23–secreting phosphaturic mesenchymal tumor in the T-8 vertebral body. En bloc resection was conducted, leading to resolution of her tumor-induced osteomalacia. This case suggests that radical spondylectomy may be beneficial in the management of metabolically or endocrinologically active tumors of the spine.

scholarly journals Sagittal en bloc resection of primary tumors in the thoracic and lumbar spine: feasibility, safety and outcome

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Lei Dang ◽  
Zhongjun Liu ◽  
Xiaoguang Liu ◽  
Liang Jiang ◽  
Miao Yu ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
En Bloc ◽  
Primary Tumors ◽  
Thoracic And Lumbar Spine
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