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Fully Endoscopic Spine Separation Surgery in Metastatic Disease—Case Series, Technical Notes, and Preliminary Findings

Authors :
Kajetan Latka
Waldemar Kolodziej
Kornel Pawlak
Tomasz Sobolewski
Rafal Rajski
Jacek Chowaniec
Tomasz Olbrycht
Masato Tanaka
Dariusz Latka
Source :
Medicina, Vol 59, Iss 5, p 993 (2023)
Publication Year :
2023
Publisher :
MDPI AG, 2023.

Abstract

Objective: This report aims to describe the surgical methodology and potential effectiveness of endoscopic separation surgery (ESS) in patients with metastatic spine disease. This concept may reduce the invasiveness of the procedure, which can potentially speed up the wound healing process and, thus, the possibility of faster application of radiotherapy. Materials and Methods: In this study, separation surgery for preparing patients for stereotactic body radiotherapy (SBRT) was performed with fully endoscopic spine surgery (FESS) followed by percutaneous screw fixation (PSF). Results: Three patients with metastatic spine disease in the thoracic spine were treated with fully endoscopic spine separation surgery. The first case resulted in the progression of paresis symptoms that resulted in disqualification from further oncological treatment. The remaining two patients achieved satisfactory clinical and radiological effects and were referred for additional radiotherapy. Conclusions: With advancements in medical technology, such as endoscopic visualization, and new tools for coagulation, we can treat more and more spine diseases. Until now, spine metastasis was not an indication for the use of endoscopy. This method is very technically challenging and risky, especially at such an early stage of application, due to variations in the patient’s condition, morphological diversity, and the nature of metastatic lesions in the spine. Further trials are needed to determine whether this new approach to treating patients with spine metastases is a promising breakthrough or a dead end.

Details

Language :
English
ISSN :
59050993, 16489144, and 1010660X
Volume :
59
Issue :
5
Database :
Directory of Open Access Journals
Journal :
Medicina
Publication Type :
Academic Journal
Accession number :
edsdoj.ff9436eb9c544ec29bb4b0be741a8a66
Document Type :
article
Full Text :
https://doi.org/10.3390/medicina59050993