Anterolateral kyphoplasty in the management of cervical spinal metastasis - 28/03/12

Doi : 10.1016/j.otsr.2012.01.004

B. Blondel ^a,^b, T. Adetchessi ^a, J. Demakakos ^b, G. Pech-Gourg ^a, H. Dufour ^a, S. Fuentes ^a,^⁎
^a Neurosurgery Department, la Timone Hospital, 264, rue Saint-Pierre, 13005 Marseille, France
^b Spine Division, Hospital for Joint Diseases, 301 East 17th Street, New York, NY 10003, USA

Corresponding author. Tel.: +33 4 91 38 55 43; fax: +33 4 91 49 25 18.

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En prensa. Pruebas corregidas por el autor. Disponible en línea desde el Wednesday 28 March 2012
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Summary

Management of spinal metastasis is still controversial and must take into account various parameters. The aim of this study is to report the technical feasibility of a less invasive anterior cervical balloon kyphoplasty for vertebral body reinforcement. Six consecutive patients with an osteolytic cervical metastasis, without neurologic compromise, and for whom a curative treatment was not indicated, were retrospectively reviewed. All patients underwent balloon kyphoplasty through a small anterolateral cervicotomy. Evaluation of the technique outcomes was clinical and radiologic with a systematic CT-scan. During the follow-up period (6months average), neurologic examination was normal in all cases with reduced cervical pain and without reported loss of motion of the cervical spine. A cement leakage was noticed in two cases without clinical consequences. This less invasive procedure was feasible and provided satisfactory preliminary results. It can therefore be a valuable alternative in selected cases where a curative treatment is not indicated.