t The Comparison of military patients treatment results with spine tumors and trauma depending on the type of surgery - Spine Surgery Armenia
The Comparison of military patients treatment results with spine tumors and trauma depending on the type of surgery


A. Hakobyan, MD PhD

Yerevan 2014

Published online


The aim of the work was to compare the results of surgical treatment of patients with spinal cord injuries and spine tumors. We investigated the treatment results of 135 patients, 119 (88.1%) of whom were military personnel. Depending on the disease, the patients were divided into two groups: patients with fractures of the vertebral bodies and patients with vertebral body’s tumor. Depending on the method used to treat the patients were divided into two groups. The first included the results of treatment of those patients who underwent open surgery or they received medical treatment. The second group included patients who underwent minimally invasive spine surgery (vertebroplasty or kyphoplasty).

      We compared the results of treatment. Also, the duration of hospitalization, the frequency of changes in the degree of fitness for further military service was compared. The essence of these techniques is the injection of bone cement into the vertebral body.

Of open surgeries transpedicular fixation was used, medical treatment is meant symptomatic treatment. As a minimally invasive surgery, vertebroplasty or kyphoplasty was used.

      We found out that the applied method (vertebroplasty) allowed a few times to reduce the time of postoperative treatment and postoperative recovery time, as well as the frequency of changes in the degree of fitness for further military service compared to the results in patients who underwent transpedicular fixation or patients who underwent conservative therapy.



  1.  Ahmed KA, Barney BM, Macdonald OK, Miller RC. Garces YI, Laack NN, Haddock MG, Foote Rl, Olivier KR, Stereotactic body radiotherapy in the treatment of adrenal metastases, Am J Clin Oncol. 2012 Jul 9
  2. Barzin M, Maleki I, Incidence of Vertebral Hemangioma on Spinal Magnetic Resonance Imaging in Northern Itan, Pakistan Journal of Biological Science, 12: 542-544
  3. Bròdano BG, Cappuccio M, Gasbarrini A, Bandiera S, De Salvo F, Cosco F, Boriani S, Vertebroplasty in the treatment of vertebral metastases: clinical case and review of the literature, European Review for Medical and Pharmacological Sciences, 2007;11:91-100
  4. Cartet B, Cotton A, Boutry N, Dewatre F, Flipo RM, Duquesnoy B, Chastanet P, Delcambre B, Percutaneous Vertebroplasty in patents with osteolytic metastases or multiple myeloma, Rev Rhum Engl Ed, 1997; 64: 177-183
  5. Galibert P, Deramond H, Rosat P, Le Gars D,Preliminary note on the treatment of vertebral angioma by percutaneous acrylic vertebroplasty, Neurochirurgie 1987;33: 166-168
  6. Gunzburg R, Parkinson R, Moore R, et al: A cadaveric study comparing discography, magnetic resonance imaging, histology, and mechanical behavior of the human lumbar disc, Spine 17:417-426, 1992
  7. Halpin RJ, Bendok BR, Liu JC, Minimally invasive treatments for spinal metastases: vertebroplasty, kyphoplasty and radiofrequency ablation. J Support Oncol 2004;2:339-355
  8. Julie G, Pilitsis MD, Setti S, Rengachary MD, The role of vertebroplasty in Metastatic disease, Neurosurg Focus, 2001;11(6)
  9. Liu P, Yao Y, Liu MY, Fan WL, Chao R, Wang ZG, Liu YC, Zhou JH, Spinal trauma in mainland China fro 2001 to 2007: an epidemiological study based on a nationwide database, Spine (Phila Pa 1976). 2012 Jul 1;37(15):1310-5
  10. Nomura K., Yoshida M., Kawai M., Okada M., Nakao S., A Novel Microendoscopically Assisted Approach for the Treatment of Recurrent Lumbar Disc Herniation: Transosseous Discectomy Surgery, J Neurol Surg A Cent Eur Neurosurg., 2013 May 15
  11.  Tator CH (2006), Review of treatment trials in Human spinal cord injury: issues, difficulties and recommendations. J Neurosurg 59: 957-987
  12.  Templin CR. Stambough JB, Stambough JL, Acute spinal cord compression caused by vertebral hemangioma, Spine J. 2004 Sep.-Oct;4(5):595-600
  13.  Thuret S, Moon LD, Gage FH (2006), Therapeutic interventions after spinal cord injury. Nat Rev Neurosci 7:628-643