Zusammenfassung
Spinale Metastasen stellen eine häufige Ursache für
eine deutlich eingeschränkte Lebensqualität bei
Pat. mit metastasierenden Tumoren dar. Die Behandlung erfolgt interdisziplinär
abhängig vom klinischen Zustand des Patienten. Die Rolle der
Chirurgie in der Therapie variiert erheblich je nach Literaturquelle,
von keiner Bedeutung bis hin zur Empfehlung der radikalen chirurgischen Resektion.
Die Behandlung spinaler Metastasen ist in ein interdisziplinäres
Konzept einzubinden bei dem neben dem Onkologen und dem Radioonkologen
auch der Wirbelsäulenchirurg eine entscheidende Rolle spielt.
Die Behandlung sollte immer eine Individualentscheidung darstellen,
wobei die Therapie die Beherrschung der Schmerzen, die Verhinderung
neurologischer Defizite und damit die Verbesserung der Lebensqualität
sowie ggf. eine langfristige Tumorkontrolle zum Ziel haben sollte.
Abstract
Spinal metastases represent a significant cause of morbidity
in patients diagnosed with malignancies. The treatment paradigm
involves a cohesive multidisciplinary approach that allows treatment
plans to be made in the context of a patient‘ overall condition.
Opinions vary widely as to the role of surgery, from none to wide
margin excision. The treatment should be taylor made for the individual.
The primary aim of any treatment is the improvement of the quality
of life by treatment of pain and avoidance of new neurological deficits.
In individual cases a long lasting tumor control can be achieved.
Schlüsselwörter
spinale Metastase - Wirbelsäulenchirurgie - Radiochirurgie
Keywords
spinal metastasis - spine surgery - radiosurgery
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CD006250
DOI: 10.1002/14 651 858.CD006250
Dr. Frerk Meyer
Neurochirurgie
Evangelisches Krankenhaus
Steinweg 13–17
26122 Oldenburg
Phone: 0441/236257
Fax: 0441/236449
Email: frerk.meyer@evangelischeskrankenhaus.de
