2.50
Hdl Handle:
http://hdl.handle.net/10755/161816
Category:
Abstract
Type:
Presentation
Title:
Metastatic Spinal Tumor Resection with Spinal Reconstruction
Author(s):
Sussman, Eileen E.
Author Details:
Eileen E. Sussman, MSN, RN, CNOR, Memorial Sloan Kettering Cancer Center, New York, New York, USA, email: sussmane@mskcc.org
Abstract:
Poster presented at AORN's 58th Annual Congress: Resection of spinal metastasis with posterior stabilization is performed to alleviate the symptoms of cord compression. The most common malignancies that metastasize to the spine are breast, prostate, renal, and colon. Cord compression results from tumor in the vertebral body or a vertebral burst fracture in weakened bone. The primary symptom is back pain that is unrelieved by medication or radiation. Rapid onset paralysis may also occur. Preoperative preparation includes an MRI to localize the lesion and embolization of highly vascular vertebral tumors to reduce blood loss. Prior to embolization, blood loss was 3000 to 7000 ccs. Embolization has reduced blood loss to 1000 to 3000 ccs. Intraoperative care is initiated with anesthesia induction, intubation, and line placement. Neuro-physiological monitoring is the standard of care for these patients. A skull clamp with Mayfield stabilization is utilized to maintain head alignment and provide airway access. The skull clamp is favored over other head positioning devices because it does not cause facial pressure. Site-marking, performed by lateral and anterior-posterior fluoroscopy, identifies the level of compression. Additional fluoroscopy is used to verify the precise level. Tumor resection includes the two levels above and below the compression. Poly-axial screws, rods, and cross connectors provide a stable construct for spine fixation. postoperative care focuses on observation for facial edema, pain, and neurological status. Patients report a substantial reduction in cancer pain. This procedure can now be offered to more patients to alleviate metastatic cancer pain and improve quality of life because of the embolization and instrumentation.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2011
Conference Name:
AORN 58th Annual Congress
Conference Host:
Association of periOperative Registered Nurses
Conference Location:
Philadelphia, Pennsylvania, USA
Description:
AORN 58th Annual Congress, 2011 held March 18, 2011 - March 24, 2011 in Philadelphia Convention Center
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleMetastatic Spinal Tumor Resection with Spinal Reconstructionen_GB
dc.contributor.authorSussman, Eileen E.en_US
dc.author.detailsEileen E. Sussman, MSN, RN, CNOR, Memorial Sloan Kettering Cancer Center, New York, New York, USA, email: sussmane@mskcc.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/161816-
dc.description.abstractPoster presented at AORN's 58th Annual Congress: Resection of spinal metastasis with posterior stabilization is performed to alleviate the symptoms of cord compression. The most common malignancies that metastasize to the spine are breast, prostate, renal, and colon. Cord compression results from tumor in the vertebral body or a vertebral burst fracture in weakened bone. The primary symptom is back pain that is unrelieved by medication or radiation. Rapid onset paralysis may also occur. Preoperative preparation includes an MRI to localize the lesion and embolization of highly vascular vertebral tumors to reduce blood loss. Prior to embolization, blood loss was 3000 to 7000 ccs. Embolization has reduced blood loss to 1000 to 3000 ccs. Intraoperative care is initiated with anesthesia induction, intubation, and line placement. Neuro-physiological monitoring is the standard of care for these patients. A skull clamp with Mayfield stabilization is utilized to maintain head alignment and provide airway access. The skull clamp is favored over other head positioning devices because it does not cause facial pressure. Site-marking, performed by lateral and anterior-posterior fluoroscopy, identifies the level of compression. Additional fluoroscopy is used to verify the precise level. Tumor resection includes the two levels above and below the compression. Poly-axial screws, rods, and cross connectors provide a stable construct for spine fixation. postoperative care focuses on observation for facial edema, pain, and neurological status. Patients report a substantial reduction in cancer pain. This procedure can now be offered to more patients to alleviate metastatic cancer pain and improve quality of life because of the embolization and instrumentation.en_GB
dc.date.available2011-10-27T08:41:06Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T08:41:06Z-
dc.conference.date2011en_US
dc.conference.nameAORN 58th Annual Congressen_US
dc.conference.hostAssociation of periOperative Registered Nursesen_US
dc.conference.locationPhiladelphia, Pennsylvania, USAen_US
dc.descriptionAORN 58th Annual Congress, 2011 held March 18, 2011 - March 24, 2011 in Philadelphia Convention Centeren_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.