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Operative Treatment of Metastatic Cervical Spine Instability

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Stabilizing Craniocervical Operations Calcium Antagonists in SAH Current Legal Issues

Part of the book series: Advances in Neurosurgery ((NEURO,volume 18))

Abstract

Vertebral metastases occur in about 5% of patients during the course of cancer [1,2,11,12]. In almost all cases, local or radicular pain is the initial symptom [2,5,10]. If there is vertebral instability or compression of the spinal cord due to osteolytic destruction of the anterior or posterior elements of the cervical spine, progressive neurological deficit is unavoidable (Fig. 1). Therefore operative removal of the tumor in combination with internal stabilization is indicated [3,4,6,7,13,14,19,20]. Because of the impossibility of total surgical removal, local postoperative radiation therapy is necessary.

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Author information

Authors and Affiliations

  1. Neurochirurgische Klinik, Universitätsklinikum der Gesamthochschule Essen, Hufelandstr. 55, D-4300, Essen 1, Germany

    M. Schax

Authors
  1. W. Grote
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  2. R. Kalff
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  3. W. Kocks
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  4. K.-P. Schmit-Neuerburg
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  5. J. Pospiech
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  6. M. Schax
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Editor information

Editors and Affiliations

  1. Neurochirurgische Universitätsklinik, Josef-Schneider-Straße 11, D-8700, Würzburg, Germany

    K.-A. Bushe

  2. Neurochirurgische Klinik und Poliklinik, Universitätsklinikum Steglitz, Freie Universität Berlin, Hindenburgdamm 30, D-1000, Berlin 45, Germany

    Mario Brock

  3. Neurochirurgische Klinik, Universität Erlangen-Nürnberg, Schwabachanlage 6 (Kopfklinikum), D-8520, Erlangen, Germany

    Margareta Klinger

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© 1990 Springer-Verlag Berlin Heidelberg

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Grote, W., Kalff, R., Kocks, W., Schmit-Neuerburg, KP., Pospiech, J., Schax, M. (1990). Operative Treatment of Metastatic Cervical Spine Instability. In: Bushe, KA., Brock, M., Klinger, M. (eds) Stabilizing Craniocervical Operations Calcium Antagonists in SAH Current Legal Issues. Advances in Neurosurgery, vol 18. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-75283-4_12

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  • DOI: https://doi.org/10.1007/978-3-642-75283-4_12

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-51967-6

  • Online ISBN: 978-3-642-75283-4

  • eBook Packages: Springer Book Archive

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