Decompressive and stabilizing operations in the treatment of patients with tumors of the vertebral bodies

Results of surgical treatment of 105 patients with vertebral body tumors are presented. Depending on the tumor type, manifestation of spinal disorders and patient’s general condition different decompression and stabilizing operations were performed. Forty seven patients underwent decompressive laminectomy. The choice of that surgical intervention was stipulated by the severity of patient’s condition and impossibility to perform more radical operation. The outcome of that operation was determined to be of short duration and did not prevent the spinal complications. In 58 patients decompressive-stabilizing operations were performed. In 31 out of those patients the anterior approach was used. Results showed the advantages of the later operations not only in benign tumors, but in malignant ones or metastatic vertebral body lesions. Operations by anterior approach with spine stabilization using carbon implants are the most perspective for the treatment of patients with metastatic lesions.