Primary tumors of the cervical spine

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dc.authoridZileli, Mehmet/0000-0002-0448-3121
dc.authorwosidKILINÇER, Cumhur/C-7969-2014
dc.authorwosidZileli, Mehmet/GQH-7188-2022
dc.contributor.authorZileli, Mehmet
dc.contributor.authorKilincer, Cumhur
dc.contributor.authorErsahin, Yusuf
dc.contributor.authorCagli, Sedat
dc.date.accessioned2024-06-12T10:54:57Z
dc.date.available2024-06-12T10:54:57Z
dc.date.issued2007
dc.departmentTrakya Üniversitesien_US
dc.description7th International Congress on Spine -- APR, 2005 -- Antalya, TURKEYen_US
dc.description.abstractBACKGROUND CONTEXT: Primary tumors of the cervical spine are rare, and many issues regarding their surgical management remain unanswered yet. PURPOSE: To demonstrate results of surgery for primary tumors of the cervical spine and to elucidate which factors influence outcome. STUDY DESIGN/SETTING: Retrospective study. PATIENT SAMPLE: Sixty-six surgeries were performed on 35 patients, ranging in age from 7 to 70 years. OUTCOME MEASURES: Preoperative and postoperative degree of pain and neurological status were quantified. Radiological investigations were used to detect recurrence and evaluate the stability and fusion. METHODS: Data were collected on patient characteristics, therapy, and results. Follow-up ranged from 6 months to 15 years (mean 59.9 months). RESULTS: Posterior (26), anterolateral (24), retropharyngeal (9), combined (4), lateral (2), and transmandibular approaches (1) were used. Chordomas (n = 8) and 17 different types of tumors were encountered. One patient died 3 weeks postoperatively and 5 died of their disease at follow-up. Twenty patients had no evidence of disease, and 7 patients had recurrent tumors. According to the Weinstein-Boriani-Biagini classification, tumor extension into both anterior and posterior columns of a vertebra was correlated with a poor outcome. Incomplete resections resulted in tumor recurrence which warranted subsequent surgeries (up to 9), especially in chordoma cases. CONCLUSIONS: Complete tumor resection is the oncologically best surgical strategy and should be attempted whenever possible. However, this may not be feasible in every case because of the complexity of the cervical spine. In these cases, acceptable mortality-morbidity rates and symptom-free years could be achieved by subtotal resections, even for malignant tumors. (c) 2007 Elsevier Inc. All rights reserved.en_US
dc.identifier.doi10.1016/j.spinee.2006.04.027
dc.identifier.endpage173en_US
dc.identifier.issn1529-9430
dc.identifier.issn1878-1632
dc.identifier.issue2en_US
dc.identifier.pmid17321965en_US
dc.identifier.scopus2-s2.0-33847080099en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage165en_US
dc.identifier.urihttps://doi.org/10.1016/j.spinee.2006.04.027
dc.identifier.urihttps://hdl.handle.net/20.500.14551/19241
dc.identifier.volume7en_US
dc.identifier.wosWOS:000251488300005en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofSpine Journalen_US
dc.relation.publicationcategoryKonferans Öğesi - Uluslararası - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBone Neoplasmen_US
dc.subjectCervical Vertebraeen_US
dc.subjectChordomaen_US
dc.subjectOperative Surgical Proceduresen_US
dc.subjectRecurrenceen_US
dc.subjectSpinal Neoplasmsen_US
dc.subjectGiant-Cell Tumoren_US
dc.subjectOperative Techniqueen_US
dc.subjectPrimary Boneen_US
dc.subjectSpondylectomyen_US
dc.subjectChordomaen_US
dc.subjectVertebrectomyen_US
dc.subjectResectionsen_US
dc.titlePrimary tumors of the cervical spineen_US
dc.typeConference Objecten_US

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