Vertebral body resection for epidural compression by XXXX . Results of forty-seven consecutive operative procedures.

@entity1 @entity174 @entity1494 @entity5 @entity51 @entity1274 @entity3677
We are presenting our experience with vertebral body resection in forty-seven operative procedures in forty @entity1 with a @entity5 . The indication for surgery was neural relapse after previous radiotherapy in eighteen procedures, the need for a tissue diagnosis in sixteen, a radioresistant @entity5 in seven, @entity1274 while receiving radiotherapy in five, and a pathological @entity174 in one. In thirty-three procedures (70 per cent) the level of compression was in the thoracic spine. Replacement of the resected vertebral bodies was achieved by anterior instrumentation and the use of @entity3677 in twenty-one procedures (45 per cent), while bone-grafting, cement, and instrumentation in various combinations were used in the remainder. Before surgery all of the @entity1 had some @entity51 . The @entity1 was still able to walk prior to twelve (26 per cent) of the procedures, was paraparetic prior to twenty-three (49 per cent), and was paraplegic prior to twelve (26 per cent). Bowel and @entity1494 was present before twenty-five (53 per cent). The outcome of only forty-four procedures could be evaluated because three @entity1 died postoperatively. The @entity1 was able to walk following thirty-five (80 per cent) of the procedures, was paraparetic after eight (18 per cent), and was still paraplegic after one. The @entity1 regained normal sphincter control after forty-one (93 per cent) of the procedures. Three (6 per cent) of the procedures were followed by the death of the @entity1 , and complications occurred after five (11 per cent) of the procedures.(ABSTRACT TRUNCATED AT 250 WORDS)
