SciELO - Scientific Electronic Library Online

 
vol.81 issue1Análisis con resonancia magnética de la posición de la amígdala cerebelosa antes de la corrección instrumentada por vía posterior y después de ella en pacientes con escoliosis idiopática del adolescenteControl radiologico en la cirugia de la escoliosis idiopatica del adolescente: Evaluacion del seguimiento posoperatorio author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

  • Have no cited articlesCited by SciELO

Related links

  • Have no similar articlesSimilars in SciELO

Share


Revista de la Asociación Argentina de Ortopedia y Traumatología

On-line version ISSN 1852-7434

Abstract

DOMINGUEZ, Mauricio; BORRI, Alvaro E; BAZAN, Pedro L  and  MEDINA, Martin. Enfoque terapeutico de las metastasis de neoplasias mielo-linfoproliferativas en la columna vertebral. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2016, vol.81, n.1, pp.7-13. ISSN 1852-7434.

Introduction: Myeloproliferative metastatic tumors (leukemia, multiple myeloma and lymphoma) are a problem that the spinal surgeon faces increasingly due to the longer survival associated with slower growth rates and improved antitumor treatments. Currently there is no consensus about any classification that allows for establishing a prognosis and a treatment plan for these conditions. Objectives: To apply and evaluate specific survival scales (ECOG and SCMM) and treatment scales (SINS) for this type of spinal metastases. Methods: The above mentioned scales, the visual analogue scale, and the Oswestry Index were applied to patients with histologically-confirmed metastatic spine myeloproliferative diseases in order to quantify treatment outcomes. Five patients were included, with a minimum follow-up of 6 months. Results: Four patients had multiple myeloma and one suffered leukemia; two were operated on and three were treated with radiotherapy, chemotherapy and corset; visual analogue scale score and Oswestry index improved in all patients, except one who died due to an extra-spinal complication at day 7. Conclusion: These scales are very useful for the therapeutic decision-making in these patients, because they are more specific for these metastases.

Keywords : Spine; Leukemia; Myeloma; Lymphoma; Scales.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )

 

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License