[Diagnosis and treatment of secondary spine XXXX ].

@entity1 @entity0 @entity5 @entity51 @entity3 @entity158 @entity259 @entity703
The surgical results of the 63 @entity1 with @entity5 of the spine, treated in Chiba University Hospital and Chiba Cancer Center in 1977-86, were analyzed. The location of the @entity5 were lung (30.2%), thyroid gland (14.3%), kidney (14.3%), breast (12.7%) and gastro-intestinal tract (9.5%). All @entity1 had intractable @entity158 , and 47 (76%) had @entity51 . 46 @entity1 were treated with posterior procedure, 7 with anterior procedure and 10 with combined anterior and posterior procedure. Anterior and posterior stabilization using implants (instrumentation, ceramics, cement) were undertaken together with @entity5 resection and surgical decompression in past 10 years. In 21 @entity1 treated with laminectomy only, 53% had @entity158 relief, and 48% had improvement of @entity51 . In 42 @entity1 treated with surgical decompression and stabilization, 78% had @entity158 relief, and 54% had improvement of @entity51 . Surgical decompression should be undertaken before complete paralysis develop (degree B on Frankel classification). With multi-disciplinary treatment @entity1 with @entity5 of the spine survived for a significantly longer time. In @entity1 with @entity51 but few visceral @entity3 and in those with @entity5 ( @entity259 , @entity0 and @entity703 ) in which a survival time of longer than 6 months can be expected, operative intervention using advanced surgical technique the quality of the @entity1 's life and let @entity1 support themselves in ADL.
