An Improved Hemicorporectomy Technique
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2015, Vol 5, Issue 8
Abstract
Background: The first attempted hemicorporectomy, also known as translumbar amputation (TLA), was reported in 1960. The first TLA with survival was performed in 1961. It is a lifesaving procedure initially designed for carefully selected patients with otherwise terminal cancer. The most common indications now are benign conditions such as chronic osteomyelitis of the pelvis in paraplegic patients. It is also the only procedure in which the spine is electively divided. We report our experience with four patients who had this operation, all done in two stages. Methods: We reviewed the current literature and report techniques used in our series. Results: We found 20 references via computer search; 14 described technical features. We describe our current technique in this report. Conclusion: TLA can be carried out with good results. Our technique minimizes blood loss, decreases operative time, and preserves one vertebral body, compared to other techniques. Summary: Hemicorporectomy is rarely performed. We discuss the history and rationale of the operation and describe what we consider the optimal technique, based on our series of four, with a minimal complication rate and zero mortality.
Authors and Affiliations
M. Burhan Janjua, David C. Crafts, Frank E. Johnson
Keywords
Related Articles
- EP ID EP345016
- DOI 10.9734/BJMMR/2015/13742
- Views 73
- Downloads 0
The Association of Lipids, Lipoproteins and Apolipoproteins Patterns with Cardiovascular Disease in Patients with Type 2 Diabetes
Diabetes mellitus is a chronic metabolic disease that is common in nearly all countries. Patients with type 2 diabetes have a two- four fold increased risk of developing cardiovascular disease (CVD) relative to nondiabet...
Anti-Sickling and Membrane Stabilizing Effects of Carica papaya Leaf Extract
The antisickling and membrane stabilizing effect of aqueous extract of Carica papaya leaf was investigated. Fifty confirmed HbSS patients on routine clinical checkup were involved in this experiment after their consent h...
Some Altered Trace Elements in Patients with Polycystic Ovary Syndrome
Background: Insulin resistance is common in patients with polycystic ovary syndrome (PCOS). Trace elements and its correlation with insulin resistance are well documented. Aim of Study: The current study aimed to determi...
Heparin Inhibits Proliferation and Migration of Patient-Derived Vascular Cells Only at Non-physiological Concentrations Due to Antagonistic Pathways
Aims: Experimental animal models have demonstrated inhibition of intimal hyperplasia processes by heparin. These effects have not been observed in clinical trials. Diverging experimental conditions are the most conspicuo...
The Cytotoxic Effect of Small and Large Molecules of PMF Fraction Extracted from Camel Urine on Cancer Cells
Aim of the work: Animal urine, including that of camels, has long been used for the therapeutic management of human ailments. In this study, we sought to characterize the cytotoxic properties of newly derived purified fr...