Wirbelkörperersatz in der palliativen Tumortherapie. Mögliche Operationsverfahren--erhebliche Verbesserung der Lebensqualität.

Complications associated with spinal metastases encompass not only pain, but often neurological deficits and possibly even paralysis due to transverse lesions. The differential indication for dorsal, ventral and combined surgical procedures depends on the nature and extent of the tumor, and the life expectancy and general state of health of the patient. Surgery must be carried out in good time, before additional damage to the spinal cord occurs. In recent years, 20 patients have been treated by GHG-vertebral body replacement. In 19 of these patients, pain was considerably improved. All patients were able to walk following surgery. Preoperative neurological deficits disappeared, in 9 of 13 patients resulting in a major improvement in the patients' quality of life.