ABSTRACT

Purpose:

The aim of the study is to show the results of hemivertebrectomy with only unilateral approach in treatment of lung cancer with vertebra invasion.

Material and Method:

Ten patients with an average age of 59 (49-65) years with lung cancer with thoracal vertebra invasion were operated between 2008 and 2015. Biopsy was performed in all patients for diagnosis. The diagnosis of the patients was, non-small cell carcinoma in seven patients, squamous cell carcinoma in two patients and adenocarcinoma in one patient. Chemotherapy and 60 GyRT radiotherapy were given before surgery. Unilateral thoracal spine exposure was used for vertebra resection after limited laminectomy and root sacrification.

Results:

In patients who undergone vertebral resection, the resected segments were between T2 and T5. Mean resected vertebrae count was 3 (2-4) and mean corpus resection extent was 40.5% (30-69). Mean follow-up duration of the patient was 24 months (8-84) .1 year survival rates of the patients included were 70%, while 5-year survival rates were 10 %.

Conclusion:

In treatment of lung cancer with spine invasion, it is possible to achieve clear surgical margins. Due to lack of the enough strength to prevent deformity from unharmed anatomic structure, strong instrumentations are necessary.