Summary
We performed instrumentation surgery on ten patients with the following rare primary spinal tumors; three solitary plasmacytomas, an aneurysmal bone cyst, a chordoma, a giant-cell tumor, a hemangioma, a solitary bone cyst, a benign osteoblastoma, and a chondrosarcoma. These tumors were found in the cervical spine (one case), thoracic spine (five cases), lumbar spine (two cases), and sacrum (two cases). The patients consisted of five men and five women, and their average age was 43.1 years. Harrington instrumentation was used in six cases, Zielke instrumentation in two, a combination of both in one case, and a Kirshner wire in one. In two cases, iliolumbar fusion was performed with Harrington instrumentation, after total resection of the sacrum. Average duration of the follow-up period was 5 years. This report describes these rare cases and emphasizes the effectiveness of instrumentation surgery in the reconstruction of the spine after extensive surgery.
Zusammenfassung
Wir operierten 10 Patienten mit den folgenden seltenen Wirbelsäulentumoren: drei solitäre Plasmacytome, eine aneurysmale Knochenzyste, ein Chordom, einen Riesenzelltumor, ein Hämangiom, ein gutartiges Osteoblastom und ein Chondrosarkom. Diese Tumoren fanden sich in der Halswirbelsäule (ein Fall), in der Brustwirbelsäule (fünf Fälle), in der Lendenwirbelsäule (zwei Fälle) und im Sakrum (zwei Fälle). Es waren fünf männliche und fünf weibliche Patienten mit einem Durchschnittsalter von 43,1 Jahren. In sechs Fällen wurde Harrington-Instrumentation verwendet, in zwei Fällen Zielke-Instrumentation, eine Kombination von beiden in einem Fall und Kirschner-Draht für den letzten Fall. In zwei Fällen wurde nach totaler Resektion des Sakrum eine ilio-lumbale Verbindung mittels Harrington-Instrumentation durchgeführt. Die Fälle wurden durchschnittlich über fünf Jahre nachverfolgt. Der vorliegende Bericht beschreibt diese seltenen Fälle und betont die Wirksamkeit instrumenteller Chirurgie bei der Rekonstruktion der Wirbelsäule nach ausgedehnten Eingriffen.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Armstrong GWD, Johnston DU (1974) Stabilization of spinal injuries using Harrington instrumentation. J Bone Join Surg [Br] 56:590
Bryant CE, Sullivan JA (1983) Management of thoracic and lumbar spine fractures with Harrington distraction rods supplemented with segmental wiring. Spine 8:532–537
Dunn HK (1984) Anterior stabilization of thoracolumbar injuries. Clin Orthop 189:116–124
Edwards CC (1984) Spinal reconstruction in tumor management. In: Uhthoff HK (ed) Current concepts of diagnosis and treatment of bone and soft tissue tumors. Springer, Berlin Heidelberg New York, pp 329–349
Flesch JR (1977) Harrington instrumentation and spine fusion for unstable fractures and fracture-dislocations of the thoracic and lumbar spine. J Bone Joint Surg [Am] 59: 143–153
Griss P (1983) Die aneurysmatische Knochenzyste der Brust und Lendenwirbelsäule. Z Orthop 121:675–682
Gunterberg B, Romanus B, Stener B (1976) Pelvic strength after major amputation of the sacrum. Acta Orthop Scand 47:635–642
Harrington RR (1962) Treatment of scoliosis: correction and internal fixation by spine instrumentation. J Bone Joint Surg [Am] 44:591–610
Hays RP (1953) Resection of the sacrum for benign giant cell tumor: a case report. Ann Surg 138:115–120
Johnson JR, Leatherman KD, Holt RT (1983) Anterior decompression of the spinal cord for neurological deficit. Spine 8:396–405
Kaneda K, Abumi K, Fujiya M (1984) Burst fractures with neurologic deficits of the thoracolumbar-lumbar spine: results of anterior decompression and stabilization with anterior instrumentation. Spine 9:788–795
Kawabata M, Sugiyama M, Suzuki T (1980) The role of metal and bone cement fixation in the management of malignant disease of the vertebral column. Int Orthop 4: 177–181
Kostuik JP (1983) Anterior spinal cord decompression for lesions of the thoracic and lumbar spine: techniques, new methods of internal fixation, results. Spine 8:512–531
Localio SA, Francis KC, Rossano PG (1967) Abdominosacral resection of sacrococcygeal chordoma. Ann Surg 166: 394–400
Lubicky JP, Patel N, Dewald RL (1983) Two-stage spondylectomy for giant cell tumor of L-4. Spine 8:112–115
Luque ER, Cardoso A (1977) Segmental correction of scoliosis with rigid internal fixation. Orthop Trans 1:136
Mcafee PC, Bohlman HH (1985) Complications following Harrington instrumentation for fractures of the thoracolumbar spine. J Bone Joint Surg [Am] 67:672–686
Shikata J, Yamamuro T, Iida H (1987) Benign osteoblastoma of the cervical vertebra. Surg Neurol 27:381–385
Stener B, Gunterberg B (1978) High amputation of the sacrum for extirpation of tumors: principles and techniques. Spine 3:351–366
Stener B (1984) Surgical treatment of giant cell tumors, chondrosarcomas, and chordomas of the spine. In: Uhthoff HK (ed) Current concepts of diagnosis and treatment of bone and soft tissue tumors. Springer Berlin Heidelberg New York, pp 233–242
Törmä T (1972) Benign osteogenic and chondrogenic tumors of the spine. In: Virken PJ, Bruyn GW (eds) Handbook of clinical neurology, vol 19. North-Holland, Amsterdam, pp 293–312
Zielke K, Stunkat R, Beaujean F (1976) Ventrale Derotationsspondylodese. Arch Orthop Unfall-Chir 85:257–277
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Shikata, J., Yamamuro, T., Mikawa, Y. et al. Instrumentation surgery for primary tumors of the spine. Arch Orthop Trauma Surg 108, 144–149 (1989). https://doi.org/10.1007/BF00934257
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00934257