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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2023; 58(01): 009-018
DOI: 10.1055/s-0042-1756158
Artigo de Atualização
Oncologia

Axial Axis Metastasis

Artikel in mehreren Sprachen: português | English
Marcio Fernando Aparecido de Moura 
1   Ortopedia Oncológica e Cirurgia da Coluna Vertebral, Hospital de Clínicas e Hospital do Trabalhador da Universidade Federal do Paraná, Curitiba, PR, Brasil
2   Departamento de Cirurgia da Universidade Federal do Paraná (UFPR) Curitiba, PR, Brasil
,
Suely Akiko Nakagawa
3   Ortopedia Oncológica, Hospital AC Camargo Câncer Center, São Paulo, SP, Brasil
,
Diego Pereira Sanches
4   Ortopedia Oncológica do Hospital do Trabalhador da Universidade Federal do Paraná, Curitiba, PR, Brasil
,
Karina Costa Maia Vianna
5   Hospital de Clínicas da Universidade Federal do Paraná (HC-UFPR), Curitiba, PR, Brasil
› Institutsangaben Source of Funding This study received no financial support from public, commercial, or non-profit sources.
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Abstract

Axial axis metastasis remains a challenge for surgical as well as other treatment modalities, like chemotherapy, immunotherapy, and radiotherapy. It is unequivocal that surgery provides pain improvements and preservation of neurological status, but this condition remains when associated with radiotherapy and other treatment modalities. In this review, we emphasize the current forms of surgical treatment in the different regions of the spine and pelvis. The evident possibility of percutaneous treatments is related to early or late cases, and in cases in which there are greater risks and instability to conventional surgeries associated with radiotherapy and have been shown to be the appropriate option for local control of metastatic disease.

Keywords

spine - pelvis - bone neoplasms - spontaneous fracture


Publikationsverlauf

Eingereicht: 22. Juni 2021

Angenommen: 14. Juni 2022

Artikel online veröffentlicht:
24. März 2023

© 2023. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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