METASTATIC LESION OF THE SPINE: DIAGNOSIS AND TACTICS OF SURGICAL TREATMENT

A.V. Yarikov1,2, A.Yu. Ermolaev2,5, I.I. Smirnov2, A.A. Denisov3, O.A. Perl’mutter2, A.P. Fraerman2, M.Yu. Dokish3, I.V. Gun’kin4

1Volga District Medical Center, Nizhny Novgorod

2City clinical hospital №39, Nizhny Novgorod

3Russian Scientific Research Institute of Traumatology and Orthopedics named after R.R. Vreden, Saint-Petersburg

4Mordovia Republican Central Clinical Hospital, Saransk.

5Privolzhsky Research Medical University, Nizhny Novgorod

Yarikov A.V. ― PhD (Medicine), Neurosurgeon, orthopedic traumatologist of the Volga District Medical Center, City clinical hospital №39

144 Moskovskoye Highway, Nizhny Novgorod, Russian Federation, 603028, tel. +7-950-618-13-54, e-mail: anton-yarikov@mail.ru

Abstract. Epidemiological studies show an increase in the number of people with cancer. Bone metastases are a frequent manifestation of generalized cancer, because it is in malignant tumors of the spine more often than other bones of the skeleton becomes a target for metastasis. The article describes in detail the methods of diagnosis of spinal lesions in cancer pathology. Particular attention is paid to the scales reflecting the severity of the patient’s condition, the degree of spinal cord damage, the severity of pain in metastasis to the spine, the prognosis of survival in oncovertebrology and evaluation of the stability of the spine in metastatic lesions. Further, the paper presents non-radical (decompression, vertebroplasty) and radical (spondylectomy, corporectomy) surgical methods of treatment

Key words: metastasis, spinal tumor, vertebroplasty, spondylectomy, bone tumor, corporectomy.