Befundadaptierte operative Versorgungsm?glichkeiten bei Wirbels?ulenmetastasen
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- 作者：Prof. Dr. C.E. Heyde (1)
J. Gulow (1)
N. von der H?h (1)
A. V?lker (1)
D. Jeszenszky (2)
U. Weber (3) - 关键词：Lebensqualit?t ; Schmerzreduktion ; Interdisziplin?res Behandlungskonzept ; Chirurgische Versorgung ; Stufenkonzept ; Quality of life ; Analgesia ; Interdisciplinary treatment concept ; Surgical treatment ; Graduated approach
- 刊名：Der Orthop?de
- 出版年：2013
- 出版时间：September 2013
- 年：2013
- 卷：42
- 期：9
- 页码：734-745
- 全文大小：1592KB
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J. Gulow (1)
N. von der H?h (1)
A. V?lker (1)
D. Jeszenszky (2)
U. Weber (3)
1. Orthop?dische Klinik und Poliklinik, Universit?t Leipzig, Liebigstr. 20, 04103, Leipzig, Deutschland
2. Wirbels?ulenchirurgie, Muskulo-Skelettal-Zentrum, Schulthess-Klinik, Zürich, Schweiz
3. Spezielle Orthop?die und Wirbels?ulenchirurgie, DRK-Kliniken Berlin-Westend, Berlin, Deutschland
文摘
The current operative approaches and technical possibilities in the operative treatment of spinal metastases are manifold which enables an individual operative strategy adapted to the patient’s condition. Maintaining quality of life is the primary goal in the treatment of these patients. The therapeutic goals, such as pain control, avoidance of neurological deficits and the achievement of spinal stability have to be attained with as little morbidity as possible. From this perspective the available operative techniques ranging from minimally invasive approaches to complex reconstructive surgery will be addressed and discussed in this article.