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dc.contributor.authorBaker, JosephF
dc.contributor.authorShafqat, Asseer
dc.contributor.authorDevitt, Aiden
dc.contributor.authorMcCabe, JohnP
dc.date.accessioned2018-09-20T16:00:20Z
dc.date.available2018-09-20T16:00:20Z
dc.date.issued2015-01-01
dc.identifier.citationBaker, JosephF; Shafqat, Asseer; Devitt, Aiden; McCabe, JohnP (2015). Surgical management of metastatic lesions at the cervicothoracic junction. Journal of Craniovertebral Junction and Spine 6 (3), 115-119
dc.identifier.issn0974-8237
dc.identifier.urihttp://hdl.handle.net/10379/10325
dc.description.abstractPurpose: The cervicothoracic junction (CTJ) represents a transition from the semirigid thoracic spine to the mobile subaxial cervical spine. Pathologic lesions are prone to kyphotic deformity. The aim of this study was to review our experience with surgical stabilization of metastatic lesions affecting the CTJ (C7-T2). Materials and Methods: We reviewed all surgical stabilizations of metastatic spine lesions over the preceding 4 years in our institution. A total of 14 patients with CTJ lesions were identified. Case notes and radiology were reviewed to determine the presentation, outcomes, and specific complications. Results: The mean survival was 405 days (standard deviation [s.d.] 352). 8/14 died at a mean time from surgery of 193 days (s.d. 306). Most cases were a result of either lung or breast primary tumors. Half were stabilized with an anterior only approach and two had staged anterior-posterior. There were no cases of neurologic deterioration in this cohort as a result of surgery. There were two cases of deep surgical site infection and two documented cases of pulmonary embolus. There were no reported construct failures over the follow-up period. Conclusion: Patients with cervicothoracic metastatic lesions can be treated with either anterior or posterior approaches or a combination after considering each individuals potential instability and disease burden.
dc.publisherMedknow
dc.relation.ispartofJournal of Craniovertebral Junction and Spine
dc.subjectcervicothoracic spine
dc.subjectinstability
dc.subjectmetastases
dc.subjectspine
dc.subjectinstrumentation
dc.subjectvertebrectomy
dc.subjectsurgery
dc.subjectdisease
dc.subjecttumors
dc.titleSurgical management of metastatic lesions at the cervicothoracic junction
dc.typeArticle
dc.identifier.doi10.4103/0974-8237.161592
dc.local.publishedsourcehttps://doi.org/10.4103/0974-8237.161592
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