An Experience in a Single Hospital in the City of São Paulo, Brazil: Epidemiology of Metastatic Lesions and Aggressive Benign Lesions Affecting the Spine | Chapter 10 | Highlights on Medicine and Medical Science Vol. 12

 The goal of this study is to determine the occurrence of metastatic lesions in the spine, as well as to diagnose and stage them.

Materials and Procedures: This study covered patients with metastatic lesions in the spine, either single or double locations, that could be treated surgically. Between July 2014 and July 2016, 67 cases were reviewed at the Hospital Santa Marcelina – Itaquera's orthopaedics outpatient clinic. Sex, age, tumour site, number of lesions, neurological condition, tumour type, and the occurrence of fractures were the variables studied.

The study enlisted the participation of 34 males and 33 women. The lumbar spine was the most severely affected, with L2 being the most severely affected, followed by L1 and L3. The primary tumour that revealed secondary implants in the column was breast cancer, followed by prostate cancer. The average age of the participants was 53 years old. The vertebral bodies of 45 individuals were fractured. We discovered abnormalities in 18 individuals and just 01 A Frankel while examining neurological changes.

Conclusion: All patients treated for primary tumours who have axial pain or have cracked vertebrae should be thoroughly examined, including imaging of the entire spine, because the spine is affected by 40-50 percent of metastatic distant lesions.

Author (S) Details

Luiz Cláudio Lacerda Rodrigues
Santa Marcelina School of Medicine, Brazil.

Fernanda Andrea Minutti Navaro
Department of Orthopedics and Traumatology, Hospital Santa Marcelina, Brazil.

Rodrigo Yuiti Nakao
Department of Orthopedics and Traumatology, Hospital Santa Marcelina, Brazil.

Nathalia Adelina Neves Justino Pereira
Santa Marcelina School of Medicine, Brazil.

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