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Sternal metastasis - the forgotten column and its effect on thoracic spine stability.
Piggott, Robert Pearse; Curtin, Mark; Munigangaiah, Sudarshan; Jadaan, Mutaz; McCabe, John Patrick; Devitt, Aiden.
Afiliación
  • Piggott RP; Robert Pearse Piggott, Mark Curtin, Sudarshan Munigangaiah, Mutaz Jadaan, John Patrick McCabe, Aiden Devitt, Department of Trauma and Orthopaedic Surgery, Galway University Hospitals, the West/North West Hospitals Group, HSE, Galway H91 YR71, Ireland.
  • Curtin M; Robert Pearse Piggott, Mark Curtin, Sudarshan Munigangaiah, Mutaz Jadaan, John Patrick McCabe, Aiden Devitt, Department of Trauma and Orthopaedic Surgery, Galway University Hospitals, the West/North West Hospitals Group, HSE, Galway H91 YR71, Ireland.
  • Munigangaiah S; Robert Pearse Piggott, Mark Curtin, Sudarshan Munigangaiah, Mutaz Jadaan, John Patrick McCabe, Aiden Devitt, Department of Trauma and Orthopaedic Surgery, Galway University Hospitals, the West/North West Hospitals Group, HSE, Galway H91 YR71, Ireland.
  • Jadaan M; Robert Pearse Piggott, Mark Curtin, Sudarshan Munigangaiah, Mutaz Jadaan, John Patrick McCabe, Aiden Devitt, Department of Trauma and Orthopaedic Surgery, Galway University Hospitals, the West/North West Hospitals Group, HSE, Galway H91 YR71, Ireland.
  • McCabe JP; Robert Pearse Piggott, Mark Curtin, Sudarshan Munigangaiah, Mutaz Jadaan, John Patrick McCabe, Aiden Devitt, Department of Trauma and Orthopaedic Surgery, Galway University Hospitals, the West/North West Hospitals Group, HSE, Galway H91 YR71, Ireland.
  • Devitt A; Robert Pearse Piggott, Mark Curtin, Sudarshan Munigangaiah, Mutaz Jadaan, John Patrick McCabe, Aiden Devitt, Department of Trauma and Orthopaedic Surgery, Galway University Hospitals, the West/North West Hospitals Group, HSE, Galway H91 YR71, Ireland.
World J Orthop ; 8(6): 455-460, 2017 Jun 18.
Article en En | MEDLINE | ID: mdl-28660136
Sternal metastases are not studied extensively in the literature. There is a paucity of information on their role in metastatic disease. The concept of the fourth column was described by Berg in 1993, and has been proven in case report, clinically and biomechanical studies. The role of the sternum as a support to the thoracic spine is well documented in the trauma patients, but not much is known about its role in cancer patients. This review examines what is known on the role of the fourth column. Following this we have identified two likely scenarios that sternal metastases may impact management: (1) sternal pathological fracture increases the mobility of the semi-rigid thorax with the loss of the biomechanical support of the sternum-rib-thoracic spine complex; and (2) a sternal metastasis increases the risk of fracture, and while being medical treated the thoracic spine should be monitored for acute kyphosis and neurological injury secondarily to the insufficiency of the fourth column.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: World J Orthop Año: 2017 Tipo del documento: Article País de afiliación: Irlanda Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: World J Orthop Año: 2017 Tipo del documento: Article País de afiliación: Irlanda Pais de publicación: Estados Unidos