Percutaneous Decompression and Fixation on Complex Spinal Metastases

Abstract

Materials and Methods Retrospectively analyzed the postoperative results of a series of 6 patients with vertebral metastases, with complicated mechanical pain and neurological involvement using a decompression technique and percutaneous fixation. Discuss the results with the literature. Results Total of 6 cases, 3 men and 3 women. Average age: 67.8 years (66–85), all with known primary tumor: 2 lungs tumor, 2 breast tumor, 1 prostate tumor and 1 renal tumor. Neurological compromise: L5 radicular pain paresis and one progressive thoracic myelopathy. SINS: 8,9,10,12,13,13. Tomita: 3,5,5,6,10,10. Surgical technique: posterolateral decompression, tube 5 Kapener decompression tube type 1, all percutaneous pedicle fixation. Complications: 1 patient L5 lumbar epidural hematoma resolved with surgical evacuation. Five of six went to early radiotherapy Evolution: In all of them neurological recovery and relief of mechanical and radicular pain. Conclusions Conventional treatment of patients with neurologic involvement secondary to vertebral metastasis is surgical decompression and open setting, this depending on the vital prognosis and patient status as mayor surgeries. The high rate of complications and fixing decompression percutaneous seem to offer an effective alternative in the management of the complication with minimal complications.