{"id":13455,"date":"2023-12-16T22:41:37","date_gmt":"2023-12-16T22:41:37","guid":{"rendered":"https:\/\/scoliozaclinic.com\/leziuni-metastatice-scheletice\/"},"modified":"2023-12-16T22:41:37","modified_gmt":"2023-12-16T22:41:37","slug":"leziuni-metastatice-scheletice","status":"publish","type":"page","link":"https:\/\/scoliozaclinic.com\/en\/the-spine-vertebral-column\/leziuni-metastatice-scheletice\/","title":{"rendered":"Leziuni metastatice scheletice"},"content":{"rendered":"\n<p>Are locului al treilea \u00een prevalen\u021b\u0103 dup\u0103 afectarea pl\u0103m\u00e2nilor \u0219i a ficatului. Localizarea cea mai frecvent\u0103 a metastazelor este coloana vertebral\u0103 (de la 40 la 70%). Conform datelor American Society of Cancer Oncology(2001), metastazele apar 96% \u00een structura leziunilor tumorale ale coloanei vertebrale, tumorilor maligne primare la 3% \u0219i a tumorilor benigne primare \u00een 1% din cazuri.<\/p>\n\n\n\n<p>Principala manifestare clinic\u0103 a metastazelor tumorale la nivelul coloanei vertebrale este sindromul durerii cu intensitate variabil\u0103, \u00een special \u00een spate. Durerea de noapte prevaleaz\u0103. \u00cen timp, sindromul durerii cre\u0219te progresiv. Compresia m\u0103duvei spin\u0103rii datorit\u0103 metastazelor epidurale apare la 10% dintre pacien\u021bii cu cancer \u0219i se dezvolt\u0103 \u00een peste 40% din cazuri la pacien\u021bii cu metastaze primare \u00een structurile osoase din alte loca\u021bii.<\/p>\n\n\n\n<p>Cea mai frecvent\u0103 localizare a leziunii metastatice a coloanei vertebrale este regiunea toracic\u0103 &#8211; p\u00e2n\u0103 la 70%. Dup\u0103 el, spasmele lombare \u0219i cervicale sunt afectate &#8211; aproximativ 20%, respectiv 10%.<\/p>\n\n\n\n<p>Cancerul de s\u00e2n, cancerul pulmonar \u0219i cancerul de prostat\u0103 sunt surse primare comune de metastaze vertebrale. Aceasta este urmat\u0103 de cancerul la rinichi, stomac, glanda tiroid\u0103, limfom \u0219i leziuni ale coloanei vertebrale \u00een mielom. De obicei, cancerul de prostat\u0103 d\u0103 metastaze vertebrelor \u00een 90,5%, cancerul de s\u00e2n \u00een 74,5%, melanomul din diferite loca\u021bii \u00een 54,5%, cancerul pulmonar \u00een 44,9% din cazuri.<\/p>\n\n\n\n<p>Metastaza tumorii la nivelul coloanei vertebrale reduce calitatea vie\u021bii pacien\u021bilor cu cancer. Prezen\u021ba metastazelor determin\u0103 durere, instabilitate, deficit neurologic, sc\u0103derea capacit\u0103\u021bii de mi\u0219care \u0219i \u00eengrijire de sine. Efectuarea unei interven\u021bii chirurgicale radicale extrem de traumatice, incluz\u00e2nd corporectomie sau spondillectomie, descompunerea m\u0103duvei spin\u0103rii \u00een combina\u021bie cu tehnici de stabilizare, este posibil\u0103 doar cu metastaze unice, tumori benigne \u0219i localizare \u00een aceea\u0219i zon\u0103 anatomic\u0103. Tratamentul leziunilor spinale metastatice multiple, de regul\u0103, const\u0103 \u00een efectuarea radioterapiei \u0219i a polichimoterapiei. Nu se aplic\u0103 interven\u021bia chirurgical\u0103 deschis\u0103.<\/p>\n\n\n\n<p>Tratamentul acestor pacien\u021bi trebuie s\u0103 vizeze reducerea durerii, prevenirea dezvolt\u0103rii deficitelor neurologice, maximizarea calit\u0103\u021bii vie\u021bii. Tehnologia minim invaziv\u0103 a vertebroplastiei percutanate permite, \u00een multe moduri, rezolvarea problemelor de mai sus.<\/p>\n\n\n\n<p><strong>Hemangiom vertebral<\/strong><\/p>\n\n\n\n<p>Diagnosticat \u00een 2-3% din cazurile tuturor tumorilor coloanei vertebrale. Conform studiilor patologice, frecven\u021ba hemangioamelor este de 10,7%. Mai des este afectat\u0103 o vertebr\u0103. De regul\u0103, procesul patologic afecteaz\u0103 corpul, mai rar corpul \u0219i arcadele. Aproximativ 50% din cazurile de hemangioame sunt \u00eenso\u021bite de o limitare a mobilit\u0103\u021bii coloanei vertebrale. Pacien\u021bii sunt preocupa\u021bi de durere constant\u0103, agravat\u0103 de efort fizic \u0219i diminuat\u0103 \u00een repaus.<\/p>\n\n\n\n<p>Progresia distrugerii osoase poate duce la compresia corpului vertebral ca urmare a unei leziuni minore \u0219i a cre\u0219terii durerii. Distrugerea stratului cortical poate provoca compresia structurilor neuronale, apari\u021bia sau agravarea simptomelor neurologice. Procedura vertebroplastiei v\u0103 permite s\u0103 opri\u021bi sindromul durerii \u0219i s\u0103 preveni\u021bi fracturile patologice care apar pe fondul hemangioamelor corpurilor vertebrale.<\/p>\n\n\n\n<p>PROSPECTIVE PENTRU APLICAREA VERTEBROPLASTICILOR PENTRU RECONSTRUC\u021aIA APELURILOR PROCESULUI DE TUMOR INFECTAT:<\/p>\n\n\n\n<p>Rezultatele clinice ale vertebroplastiei percutanate au demonstrat eficien\u021ba ridicat\u0103 a tehnologiei pentru refacerea capacit\u0103\u021bii de sus\u021binere a diferitelor p\u0103r\u021bi ale coloanei vertebrale afectate de un proces de tumoare osteolitic\u0103. \u00cen primul r\u00e2nd, tehnica este ar\u0103tat\u0103 acelor bolnavi de cancer care, din orice motiv, nu pot fi efectuate interven\u021bii chirurgicale radicale.<\/p>\n\n\n\n<p>Utilizarea vertebroplastiei percutanate pentru tratamentul pacien\u021bilor cu leziuni metastatice ale coloanei vertebrale va reduce timpul de repaus la pat, va prelungi perioada de activare a pacien\u021bilor, va preveni progresia durerii \u0219i va reduce riscul de complica\u021bii neurologice.<\/p>\n\n\n\n<p>Tehnologia PVP minim invaziv\u0103 va reduce durata \u0219ederii la spital a pacien\u021bilor, care, combinat\u0103 cu o sc\u0103dere a frecven\u021bei de utilizare a analgezicelor, va reduce costul tratamentului intern pentru aceast\u0103 categorie de pacien\u021bi. Astfel, vertebroplastia percutanat\u0103 este o metod\u0103 modern\u0103 minim invaziv\u0103 de tratare a durerii la indivizii cu leziuni metastatice din diferite p\u0103r\u021bi ale coloanei vertebrale, hemangioame vertebrale agresive \u0219i fracturi de compresie ale corpurilor vertebrale.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Are locului al treilea \u00een prevalen\u021b\u0103 dup\u0103 afectarea pl\u0103m\u00e2nilor \u0219i a ficatului. Localizarea cea mai frecvent\u0103 a metastazelor este coloana vertebral\u0103 (de la 40 la 70%). Conform datelor American Society of Cancer Oncology(2001), metastazele apar 96% \u00een structura leziunilor tumorale ale coloanei vertebrale, tumorilor maligne primare la 3% \u0219i a tumorilor benigne primare \u00een 1% [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":13485,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-13455","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Leziuni metastatice scheletice - Asocia\u0163ia Ob\u015fteasc\u0103 &#039;&#039;HEALTHY SPINE&#039;&#039;<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/scoliozaclinic.com\/en\/the-spine-vertebral-column\/leziuni-metastatice-scheletice\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Leziuni metastatice scheletice - Asocia\u0163ia Ob\u015fteasc\u0103 &#039;&#039;HEALTHY SPINE&#039;&#039;\" \/>\n<meta property=\"og:description\" content=\"Are locului al treilea \u00een prevalen\u021b\u0103 dup\u0103 afectarea pl\u0103m\u00e2nilor \u0219i a ficatului. 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Conform datelor American Society of Cancer Oncology(2001), metastazele apar 96% \u00een structura leziunilor tumorale ale coloanei vertebrale, tumorilor maligne primare la 3% \u0219i a tumorilor benigne primare \u00een 1% [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/scoliozaclinic.com\/en\/the-spine-vertebral-column\/leziuni-metastatice-scheletice\/\" \/>\n<meta property=\"og:site_name\" content=\"Asocia\u0163ia Ob\u015fteasc\u0103 &#039;&#039;HEALTHY SPINE&#039;&#039;\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/scoliozaclinic.com\\\/en\\\/the-spine-vertebral-column\\\/leziuni-metastatice-scheletice\\\/\",\"url\":\"https:\\\/\\\/scoliozaclinic.com\\\/en\\\/the-spine-vertebral-column\\\/leziuni-metastatice-scheletice\\\/\",\"name\":\"Leziuni metastatice scheletice - Asocia\u0163ia Ob\u015fteasc\u0103 &#039;&#039;HEALTHY SPINE&#039;&#039;\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/scoliozaclinic.com\\\/en\\\/#website\"},\"datePublished\":\"2023-12-16T22:41:37+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/scoliozaclinic.com\\\/en\\\/the-spine-vertebral-column\\\/leziuni-metastatice-scheletice\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/scoliozaclinic.com\\\/en\\\/the-spine-vertebral-column\\\/leziuni-metastatice-scheletice\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/scoliozaclinic.com\\\/en\\\/the-spine-vertebral-column\\\/leziuni-metastatice-scheletice\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"\u0413\u043b\u0430\u0432\u043d\u0430\u044f \u0441\u0442\u0440\u0430\u043d\u0438\u0446\u0430\",\"item\":\"https:\\\/\\\/scoliozaclinic.com\\\/en\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Leziuni metastatice scheletice\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/scoliozaclinic.com\\\/en\\\/#website\",\"url\":\"https:\\\/\\\/scoliozaclinic.com\\\/en\\\/\",\"name\":\"Asocia\u0163ia Ob\u015fteasc\u0103 &#039;&#039;HEALTHY SPINE&#039;&#039;\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\\\/\\\/scoliozaclinic.com\\\/en\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/scoliozaclinic.com\\\/en\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/scoliozaclinic.com\\\/en\\\/#organization\",\"name\":\"Asocia\u0163ia Ob\u015fteasc\u0103 &#039;&#039;HEALTHY SPINE&#039;&#039;\",\"url\":\"https:\\\/\\\/scoliozaclinic.com\\\/en\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/scoliozaclinic.com\\\/en\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/scoliozaclinic.com\\\/wp-content\\\/uploads\\\/2025\\\/10\\\/cropped-hs-1.png\",\"contentUrl\":\"https:\\\/\\\/scoliozaclinic.com\\\/wp-content\\\/uploads\\\/2025\\\/10\\\/cropped-hs-1.png\",\"width\":1724,\"height\":842,\"caption\":\"Asocia\u0163ia Ob\u015fteasc\u0103 &#039;&#039;HEALTHY SPINE&#039;&#039;\"},\"image\":{\"@id\":\"https:\\\/\\\/scoliozaclinic.com\\\/en\\\/#\\\/schema\\\/logo\\\/image\\\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Leziuni metastatice scheletice - Asocia\u0163ia Ob\u015fteasc\u0103 &#039;&#039;HEALTHY SPINE&#039;&#039;","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/scoliozaclinic.com\/en\/the-spine-vertebral-column\/leziuni-metastatice-scheletice\/","og_locale":"en_US","og_type":"article","og_title":"Leziuni metastatice scheletice - Asocia\u0163ia Ob\u015fteasc\u0103 &#039;&#039;HEALTHY SPINE&#039;&#039;","og_description":"Are locului al treilea \u00een prevalen\u021b\u0103 dup\u0103 afectarea pl\u0103m\u00e2nilor \u0219i a ficatului. 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