A multidisciplinary surgical approach to superior sulcus tumors with vertebral invasion Sunil Gandhi, MD, Garrett L Walsh, MD, Ritsuko Komaki, MD, Ziya.

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Presentation transcript:

A multidisciplinary surgical approach to superior sulcus tumors with vertebral invasion Sunil Gandhi, MD, Garrett L Walsh, MD, Ritsuko Komaki, MD, Ziya L Gokaslan, MD, Jonathan C Nesbitt, MD, Joe B Putnam, MD, Jack A Roth, MD, Kelly W Merriman, MPH, Ian E McCutcheon, MD, Reginald F Munden, MD, Stephen G Swisher, MD The Annals of Thoracic Surgery Volume 68, Issue 5, Pages 1778-1784 (November 1999) DOI: 10.1016/S0003-4975(99)01068-1

Fig 1 Multilevel thoracic vertebrectomy and laminectomy, reconstruction with methylmethacrylate, placement of anterior locking plate and screw construct, and posterior fixation with hooks and rods. The Annals of Thoracic Surgery 1999 68, 1778-1784DOI: (10.1016/S0003-4975(99)01068-1)

Fig 2 Operative photo taken before placement of anterior locking plate and screw construct showing multilevel thoracic vertebrectomy and laminectomy with methylmethacrylate reconstruction in foreground (white arrows) and posterior fixation with hooks and rods in background just posterior to spinal cord (black arrows). The Annals of Thoracic Surgery 1999 68, 1778-1784DOI: (10.1016/S0003-4975(99)01068-1)

Fig 3 Overall survival of patients undergoing resection of superior sulcus tumors with vertebral invasion. The Annals of Thoracic Surgery 1999 68, 1778-1784DOI: (10.1016/S0003-4975(99)01068-1)

Fig 4 Overall survival according to status of the surgical margins. The Annals of Thoracic Surgery 1999 68, 1778-1784DOI: (10.1016/S0003-4975(99)01068-1)