Metástase do eixo axial

Marcio Fernando Aparecido de Moura; Suely Akiko Nakagawa; Diego Pereira Sanches; Karina Costa Maia Vianna

doi:10.1055/s-0042-1756158

Revista Brasileira de Ortopedia, Table of Contents

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

Metástase do eixo axial

Article in several languages: português | English

Marcio Fernando Aparecido de Moura

¹Ortopedia Oncológica e Cirurgia da Coluna Vertebral, Hospital de Clínicas e Hospital do Trabalhador da Universidade Federal do Paraná, Curitiba, PR, Brasil

²Departamento de Cirurgia da Universidade Federal do Paraná (UFPR) Curitiba, PR, Brasil

,

Suely Akiko Nakagawa

³Ortopedia Oncológica, Hospital AC Camargo Câncer Center, São Paulo, SP, Brasil

,

Diego Pereira Sanches

⁴Ortopedia Oncológica do Hospital do Trabalhador da Universidade Federal do Paraná, Curitiba, PR, Brasil

,

Karina Costa Maia Vianna

⁵Hospital de Clínicas da Universidade Federal do Paraná (HC-UFPR), Curitiba, PR, Brasil

› Author Affiliations

Abstract

Resumo

As metástases no eixo axial permanecem um desafio para o tratamento cirúrgico bem como para outras modalidades, como quimioterapia, imunoterapia e radioterapia. É inequívoco que a cirurgia proporciona melhorias na dor e na preservação do status neurológico; porém, há permanência desta condição quando associada à radioterapia e a outras modalidades de tratamento. Nesta revisão damos ênfase às formas de tratamento cirúrgico atuais nas diferentes regiões da coluna vertebral e pelve. A evidente possibilidade de tratamentos percutâneos está relacionada a casos iniciais ou tardios, bem como a casos em que há maiores riscos e instabilidade às cirurgias convencionais associadas à radioterapia, e tem se mostrado a opção adequada para o controle local da doença metastática.

Palavras-chave

coluna vertebral - pelve - neoplasias ósseas - fraturas espontâneas

Full Text

References

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