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M Bisserié

Publications and source records attributed to M Bisserié.

11 recordsLinked to original sources

[Prospects for conservative excision procedures in osteosarcomas in 1981].

On the tenth anniversary of the Bone Tumor Study Group (BTSG) the authors report on their overall experience of the surgical management of osteogenic osteosarcomas. Current data from the medical literature is analyzed. The authors believe that every time a resection-reconstruction procedure is possible it should be preferred to systematic amputation. This policy is warranted by the continuing advances in medical management, particularly in chemotherapy. However, when dealing with osteosarcomas, the therapist's fore-most concern is the danger to life rather than functional considerations. Attention is drawn to recent technical developments enabling total excision of vertebral and costovertebral osteosarcomas, that should lead to considerable improvement of the prognosis of such tumors which was hopeless until now.

Bone Neoplasms↗

[Total excision of thoracic vertebrae (author's transl)].

The authors believe that it is not possible to remove a thoracic vertebra completely by a lateral transthoracic approach. They have operated on three patients in which a thoracic vertebra has been removed completely using an extended posterior approach. The technique described utilizes an extra-pleural bilateral thoracotomy through a single posterior incision. The posterior mediastinum is mobilised and the vertebral bodies freed. The technique is indicated in tumours of the spine compressing or threatening the spinal cord, especially primary local malignant tumours or where adjuvant treatment such as radiotherapy, chemotherapy or radio active drugs are effective. Benign but recurrent tumours such as giant cell tumours or aneurysmal bone cysts are also good indications for this method.

Adult↗

[Severe strains of the cervical spine operated on by a posterior approach (author's transl)].

The authors have operated on 18 cases of severe strain of the cervical spine (six cases of C1-C2 and 12 cases of level cervical spine). They point out the difficulty of an accurate diagnosis in emergency. They emphasize the importance of flexion-extension X-rays when conventional X-rays are not strictly normal. After an analysis of the results they suggest that recent cases should be treated by posterior grafting at the level of C1 and C2, posterior plating at lower levels. Old and irreducible cases should be treated by osteotomy and anterior grafting: banding with grafting at C1 and C2, posterior screwed plating at the inferior cervical level.

Adolescent↗