Combined en Bloc Spondylectomy and Chest Wall Resection for Malignant Tumors Invading Spinal Column and Chest Wall.

Roh,  Tae Hoon; Kim,  Keung Nyun; Yoon,  Do Heum; Ha,  Yoon; Yi,  Seong

Case Report

Korean J Spine 2009;6(3): 221-224.

Combined en Bloc Spondylectomy and Chest Wall Resection for Malignant Tumors Invading Spinal Column and Chest Wall.

Tae Hoon Roh, Keung Nyun Kim, Do Heum Yoon, Yoon Ha, Seong Yi

Department of Neurosurgery, Spine and Spinal Cord Institute, Yonsei University College of Medicine, Seoul, Korea. knkim@yuhs.ac

Abstract

We performed combined spondylectomy for 2 patients of malignant tumors invading spinal column and chest wall. For one patient with Pancoast tumor, anterolateral thoracotomy, apical lobectomy, chest wall resection, and hemispondylectomy were performed. For another patient with solitary metastatic tumor from nasopharyngeal cancer, posterolateral thoracotomy, chest wall resection, and total en bloc spondylectomy were performed with anterior and posterior instrumentation. The tumor including invaded chest wall and spinal column werewas removed completely in both patients. No local recurrence was found at 18 months follow-up evaluation in both patients.

Keywords: Pancoast tumor;Spondylectomy;Metastatic spine tumor;Chest wall resection