Bracing for Patients With Spinal Tumors

Lewandrowski, Kai‐Uwe; McLain, Robert F.; Benzel, Edward C.

doi:10.1007/978-1-59259-971-4_39

Cited by 4 publications

(3 citation statements)

References 30 publications

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“…Brace treatment is often motivated by an unstable spine or unknown status and is therefore usually nursed in a supine position with bed rest. 35 In our series, this therapeutic choice was comparable for patients >80 years' old and patients 70 to 75 years' old (54%). The proportion was lower (43%) for 75 to 80 years' old (P ¼ 0.356).…”

Section: Discussionmentioning

confidence: 51%

“…However, nearly four of five of the patients in the surgery group presented an epiduritis, a complication evidently representing the surgical treatment group 16 but also synonymous to worse prognosis, which could falsely lower survival in this group. Brace treatment is often motivated by an unstable spine or unknown status and is therefore usually nursed in a supine position with bed rest 35 . In our series, this therapeutic choice was comparable for patients >80 years’ old and patients 70 to 75 years’ old (54%).…”

Section: Discussionmentioning

confidence: 68%

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Spine Metastasis in Elderly

Beaufort

Terrier

Dubory

et al. 2020

Spine

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Study Design. Multicentric prospective study.Objective. Through this study, we aimed to clarify and update the prognostic assessment of elderly with spine metastasis (SpM). Summary of Background Data. The incidence SpM is rising, in parallel life expectancy is getting longer and the number of elderly patients presenting malignancy is increasing. Elderly patients with SpM constitute a growing heterogeneous population Methods. The patient data used in this study were obtained from a French national multicenter database of patients treated for SpM between 2014 and 2017. Two hundred and forty-three consecutive patients >70 years' old were diagnosed. Results. Median overall survival (OS) time for elderly patients following the event of SpM was 16.3 months. First, we identified significantly worse survival prognostic factors for elderly patients with SpM: poor WHO status 3/4: (hazard ratio [HR]: 2.245, 95% confidence interval [CI] 1.899 -2.655; P < 0.0001),

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Section: Discussionmentioning

confidence: 51%

Section: Discussionmentioning

confidence: 68%

Spine Metastasis in Elderly

Beaufort

Terrier

Dubory

et al. 2020

Spine

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“…Examples of flexible collars include the Miami J, Philadelphia or Aspen collar, or the sterno‐occipital‐mandibular immobilizer (SOMI) brace, each with varying degrees of flexion/extension or lateral bending limitation. The “parallelogram effect” is evident where the two halves of a cervical collar inadvertently slide past each other . A thoracic orthosis extension can limit this, particularly for the lower cervical spine.…”

Section: Cervical Spine Orthosesmentioning

confidence: 99%

Managing the cervical spine in multiple myeloma patients

Cawley

Butler

Benton

et al. 2018

Hematological Oncology

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Discuss the relevant literature on surgical and nonsurgical treatments for multiple myeloma (MM) and their complementary effects on overall treatment. Existing surgical algorithms designed for neoplasia of the spine may not suit the management of spinal myeloma. Less than a fifth of metastatic, including myelomatous lesions, occur in the cervical spine but have a poorer prognosis and surgery in this area carries a higher morbidity. With the advances of chemotherapy, early access to radiotherapy, early orthosis management, and high definition imaging, including CT and MRI, surgical indications in MM have changed. Medical decompression (or oncolysis), including in the presence of neurological deficit and orthotic stabilization, are proving viable nonsurgical options to manage MM. A key to decision making is the assessment and monitoring of biomechanical spinal stability as part of a multidisciplinary approach.

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