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Neurological Outcome Following Surgical Treatment of Spinal Metastases

BACKGROUND: Spinal metastases lead to bony instability and spinal cord compression resulting in intractable pain and neurological deficits which affect ambulatory function and quality of life. The most appropriate treatment for spinal metastasis is still debated. OBJECTIVE: The aim of this study is...

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Autores principales: Abdelbaky, Abdelaal, Eltahawy, Hazem
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5898087/
https://www.ncbi.nlm.nih.gov/pubmed/29682016
http://dx.doi.org/10.4103/ajns.AJNS_43_16
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author Abdelbaky, Abdelaal
Eltahawy, Hazem
author_facet Abdelbaky, Abdelaal
Eltahawy, Hazem
author_sort Abdelbaky, Abdelaal
collection PubMed
description BACKGROUND: Spinal metastases lead to bony instability and spinal cord compression resulting in intractable pain and neurological deficits which affect ambulatory function and quality of life. The most appropriate treatment for spinal metastasis is still debated. OBJECTIVE: The aim of this study is to evaluate clinical outcome, quality of life, complications, and survival after surgical treatment of spinal metastases. METHODS: Retrospective review of patients with spinal metastases surgically treated at our facility between March 2008 and March 2013 was performed. Evaluations include hospital charts, initial and interval imaging studies, neurological outcome, and surgical complications. Follow-up examinations were performed every 3 months after surgery. RESULTS: Seventy patients underwent surgical intervention for treatment of spinal metastasis in our institution. There were 27 women and 43 men. The preoperative pain was reported in 65 patients (93%), whereas postoperative complete pain relief was reported in 16 patients (24%), and pain levels decreased in 38 patients (58%). Preoperative 39 patients were ambulant and 31 patients were nonambulant. Postoperative 52 patients were ambulant and 18 patients were nonambulant. Postoperative complications were experienced in 10 (14.2%) patients, and the patient survival rate was 71% (50 patients) at 3 months, 49% (34 patients) at 1 year. The postoperative 30-day mortality rate was 4.2%. CONCLUSION: Surgical decompression for a metastatic spinal tumor can improve the quality of life in a substantially high percentage of patients with acceptable complications rate.
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spelling pubmed-58980872018-04-20 Neurological Outcome Following Surgical Treatment of Spinal Metastases Abdelbaky, Abdelaal Eltahawy, Hazem Asian J Neurosurg Original Article BACKGROUND: Spinal metastases lead to bony instability and spinal cord compression resulting in intractable pain and neurological deficits which affect ambulatory function and quality of life. The most appropriate treatment for spinal metastasis is still debated. OBJECTIVE: The aim of this study is to evaluate clinical outcome, quality of life, complications, and survival after surgical treatment of spinal metastases. METHODS: Retrospective review of patients with spinal metastases surgically treated at our facility between March 2008 and March 2013 was performed. Evaluations include hospital charts, initial and interval imaging studies, neurological outcome, and surgical complications. Follow-up examinations were performed every 3 months after surgery. RESULTS: Seventy patients underwent surgical intervention for treatment of spinal metastasis in our institution. There were 27 women and 43 men. The preoperative pain was reported in 65 patients (93%), whereas postoperative complete pain relief was reported in 16 patients (24%), and pain levels decreased in 38 patients (58%). Preoperative 39 patients were ambulant and 31 patients were nonambulant. Postoperative 52 patients were ambulant and 18 patients were nonambulant. Postoperative complications were experienced in 10 (14.2%) patients, and the patient survival rate was 71% (50 patients) at 3 months, 49% (34 patients) at 1 year. The postoperative 30-day mortality rate was 4.2%. CONCLUSION: Surgical decompression for a metastatic spinal tumor can improve the quality of life in a substantially high percentage of patients with acceptable complications rate. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC5898087/ /pubmed/29682016 http://dx.doi.org/10.4103/ajns.AJNS_43_16 Text en Copyright: © 2018 Asian Journal of Neurosurgery http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Abdelbaky, Abdelaal
Eltahawy, Hazem
Neurological Outcome Following Surgical Treatment of Spinal Metastases
title Neurological Outcome Following Surgical Treatment of Spinal Metastases
title_full Neurological Outcome Following Surgical Treatment of Spinal Metastases
title_fullStr Neurological Outcome Following Surgical Treatment of Spinal Metastases
title_full_unstemmed Neurological Outcome Following Surgical Treatment of Spinal Metastases
title_short Neurological Outcome Following Surgical Treatment of Spinal Metastases
title_sort neurological outcome following surgical treatment of spinal metastases
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5898087/
https://www.ncbi.nlm.nih.gov/pubmed/29682016
http://dx.doi.org/10.4103/ajns.AJNS_43_16
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