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Revista Médica Científica CAMbios

Periodicidad semestral: flujo continuo.

ISSN - Electrónico: 2661-6947 / DOI: 10.36015 • LILACS BIREME (19784); LATINDEX (20666)

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Keywords

Radiotherapy
Magnetic Resonance Spectroscopy
Neck Pain
Neurology
Morbidity
Neoplasm Metastasis

How to Cite

1.
Surgical stabilization in metastatic neck spinal cord compresion: case report and literature review. Cambios rev. méd. [Internet]. 2019 Jul. 1 [cited 2025 Dec. 7];15(2):56-60. Available from: https://revistahcam.iess.gob.ec/index.php/cambios/article/view/320

Abstract

Introduction: Spinal cord compression secondary to neoplasia is a commonn neurological complication that raises morbidity, only followed by brain metastases. It is considered an oncologic emergency since it can lead to an irreversible loss of neurological function. Haematogenous invasion of the vertebral body is the commonest cause of spinal cord compression. Occassionally, it can cause vertebral instability which represents a real orthopedic emergency. Pain is the earliest and most common symptom.. Case: The clinical, pathological, prognostic factors and management of spinal cord compression due to cáncer in a female patient of 73 years with neck pain box 8 months duration + recent motor deficit upper limbs + radiographic signs of cervical cord compression are analyzed and surgical stabilization results. Discusion: Signs and symptoms appear when the problem progresses as motor weakness, alterations in consciousness, paralysis and incontinence, as a result of complete neurological damage. The most important complementary exploration is Magnetic Resonance Imaging (MRI) that should be requested to decide immediately and initiate treatment. The standard treatment for many years was radiotherapy; currently there are new techniques of radiation and surgery that offer good results.

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References

Sasaki K, Hiroyuki I, Shigenori K. Combined surgical and radiosurgical tratment for a symptomatic cervical metastasis in a case of malignant paraganglioma: a case report. BMC Research Notes, 2013; 6: 494-498

Xuefeng N, Ping W. Treatment of cervical vertebral (C1) metastasis of lung cancer with radiotherapy: A case report. Oncology Lett, 2013; 5: 1129-1132

Trilling G, Cho H, Mohamed U. Spinal metastasis in head and neck cáncer. Head & Neck Oncology, 2012; 4: 31-36

Zurab M, Ivanishvili D, Fourney D. Incorporating the Spine Instability Neoplastic Score into a Treatment Strategy for Spinal Metastasis: LMNOP. Global Spine J, 2014; 4: 129–136

Cho W, Chang U. Neurological and Survival Outcomes After Surgical Managment of Subaxial Cervical Spine Metastases. Spine, 2012; 37: 969–977

Yang S, Cho W, Chang U. Analysis of Prognostic Factors Relating to Postoperative Survival in Spinal Metastases. J Korean Neurosurg Soc, 2012; 51: 127-134

Oda I, Abumi K, Ito M. Palliative Spinal Reconstruction Using Cervical Pedicle Screws foor Metastatic Lesion of the Spine. Spine, 2006; 31: 1439–1444

Picart J, Ibiza J, Vigara G. Diagnóstico y tratamiento de las metástasis vertebrales con compresión medular. Aten Primaria, 2004; 34: 92-97

Rades D, Blanch M, Bremer M. Prognostic significante if the time of developing motor déficits before radiation therapy in metastatic spinal cord compression: one-year results of a prospective trial. Int J Radiat Oncol Biol Phys 2000; 48: 1403-1408

Romero P, Manterola A, Martínez E. Medullar compression. An. Sist. Sanit. Navar, 2004; 27: 155-162

Rao J, Rajendra V, Lee L. Palliative surgery for cervical spine metastasis. Singapore Med J, 2014; 55: 569-573

Verger E, Conill C, Vila A. Contribución de la resonancia magnética en el diagnóstico temprano de las metástasis epidurales. Med Clin (Barc) 1992; 99: 329-331

Bilsky M, Lis E, Raizer J. The Diagnosis and Treatment of Metstaatic Spinal Tumor. The Oncologist, 1999; 4: 459-469

Sorenson S, Hel W, Mouridsen H. Effect of high-dose dexametasona in carcinomatous metastatic spinal cord compression treated with radiotherapy: a randomised trial. Eur J Cancer, 1994; 30: 22-27

Ryu S, Pugh S, Gerszten P. RTOG 0631 Phase II/III Study of Image-Guided Stereotactic Radiosurgegery for Localized (1-3) Spine Metastases: Phase II Results. Pract Radiat Oncol, 2014; 4: 76–81

Hartsell W, et al. Randomized trial of short-verus long-course radiotherapy for palliation of painful bone metastases. J Natl Cncer Inst, 2005; 97: 798-804

Marazano E, Bellavita R, Rossi R, et al. Short- course versus split-course radiotherapy in metastatic spinal cord compression results of a phase III, Randomized multicenter trial. J Clin Oncol, 2005; 23: 3358-3365

Maranzano E, Latini P, Perruci E. Short-course radiotherapy (8Gyx2) in metastasic spinal cord compression: an effective and feasible treatment. Int J Radiat Oncol Biol Phys 1997; 38: 1037-1044

Patchell R, Tibbs P, Regine W, et al. Direct descompressive surgical resection in the randomised trial, Lancet, 2005; 366: 643-648

Bateman A, Way A. Corpectomy with Adjacent-Level Kyphoplasty to Treat Metastatic Lung Cancer in Three Contiguous Cervical Vertebrae Causing Focal Neurologic Compromise. Global Spine J, 2015; 5: 140–143

Gasbarrini A, Li H, Cappuccino M. Efficacy Evaluation of a New Tratment Algorithm for Spinal Metastases. Spine, 2010; 35: 1466–1470

Maranzano E, Latini P, Beneventi S. Radiotherapy without steroids in selected metastasic spinal cord compresion patients. A phase II trial. J Am Clin Oncol 1996; 19: 179-183.

Fehlings M, Kenny D, Vialle L. Decision Making in gthe Surgical Treatment of Cervical Spine Metastases. Spine, 2009; 34: 108–117

Loblaw D, Smith K, Lockwood G. The Princess Margaret Hospital Experience of malignant spinal cord compression. Proc Am Soc Clin Oncol, 2003; 22: 121-131

Sciubba M, Gokaslan Z. Diagnosis and managment of metastatic spine disease. Surg Oncol, 2006; 15: 141151

Sundaresan N, Galicich J, Lane J. Treatment of neoplastic epidural cord compression by vertebral body resection and stabilization. J Neurosurg, 2005; 63: 676-684

Huch K, Cakir B, Ulmar B, et al. Prognosis, surgical therapy and progression in cervical and upper-thoracic tumor osteolysis. Z Orthop Ihre Grenzgeb, 2005; 143: 213–218.

Mazel C, Hoffmann E, Antonietti P, et al. Posterior cervicothoracic instrumentation in spine tumors. Spine, 2004; 29: 246–253.

Sung S, Jeon B, Oh H, et al. Anterior cervical stabilization for cervical spin metastases. Kor J Spine 2007; 4: 24 – 30

Heidecke V, Rainov N, Burkert W. Results and outcome of neurosurgical treatment for extradural metastases in the cervical spine. Acta Neurochir, 2003; 145: 873 – 880

Bilsky M, Boakye M, Collignon F, et al. Operative managment of metastatic and malignant primary subaxial cervical tumors. J Neurosurg Spine, 2005; 2: 256 – 264

Guzmán R, et al. Preoperative transarterial embolization of vertebral metastases. Eur Spine J 2005; 14: 263–268

 

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