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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2023; 58(01): 009-018
DOI: 10.1055/s-0042-1756158
Artigo de Atualização
Oncologia

Metástase do eixo axial

Article in several languages: português | English

Authors

  • Marcio Fernando Aparecido de Moura 

    1   Ortopedia Oncológica e Cirurgia da Coluna Vertebral, Hospital de Clínicas e Hospital do Trabalhador da Universidade Federal do Paraná, Curitiba, PR, Brasil
    2   Departamento de Cirurgia da Universidade Federal do Paraná (UFPR) Curitiba, PR, Brasil

  • Suely Akiko Nakagawa

    3   Ortopedia Oncológica, Hospital AC Camargo Câncer Center, São Paulo, SP, Brasil

  • Diego Pereira Sanches

    4   Ortopedia Oncológica do Hospital do Trabalhador da Universidade Federal do Paraná, Curitiba, PR, Brasil

  • Karina Costa Maia Vianna

    5   Hospital de Clínicas da Universidade Federal do Paraná (HC-UFPR), Curitiba, PR, Brasil

Suporte Financeiro Este estudo não recebeu nenhum suporte financeiro de fontes públicas, comerciais ou sem fins lucrativos.
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Resumo

As metástases no eixo axial permanecem um desafio para o tratamento cirúrgico bem como para outras modalidades, como quimioterapia, imunoterapia e radioterapia. É inequívoco que a cirurgia proporciona melhorias na dor e na preservação do status neurológico; porém, há permanência desta condição quando associada à radioterapia e a outras modalidades de tratamento. Nesta revisão damos ênfase às formas de tratamento cirúrgico atuais nas diferentes regiões da coluna vertebral e pelve. A evidente possibilidade de tratamentos percutâneos está relacionada a casos iniciais ou tardios, bem como a casos em que há maiores riscos e instabilidade às cirurgias convencionais associadas à radioterapia, e tem se mostrado a opção adequada para o controle local da doença metastática.

Palavras-chave

coluna vertebral - pelve - neoplasias ósseas - fraturas espontâneas


Publication History

Received: 22 June 2021

Accepted: 14 June 2022

Article published online:
24 March 2023

© 2023. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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