Vertebral metastases: a critical appreciation of the preoperative prognostic tokuhashi score in a series of 71 cases.

作者: Eric A. Enkaoua , Levon Doursounian , Gilles Chatellier , Frank Mabesoone , Thierry Aimard

DOI: 10.1097/00007632-199710010-00020

关键词: CancerRadiologySurgeryVertebraMedian survivalRetrospective cohort studyThyroid cancerMetastasisMedicineThyroidPrimary tumor

摘要: STUDY DESIGN The utility of the Tokuhashi score was assessed in a retrospective study 71 patients with vertebral metastases. OBJECTIVES To importance site primary tumor as parameter preoperative prognostic score. SUMMARY OF BACKGROUND DATA A composed six parameters, each rated from zero to two, has been proposed by for assessment metastases spine. METHODS Seventy-one were studied. There 34 cases thyroid cancer metastases, 28 renal and nine unknown origin. In patient, local systemic search performed. Patients divided into groups based on tumor, group analyzed separately. RESULTS cancers, surgery excise single found provide good results, palliative multiple Vertebral tumors rarely single, results less satisfactory. had poor outcome, regardless whether excisional or palliative. median survival period significantly shorter than that CONCLUSION is successful tool. However, it attributes same one-point rating those tumors. case tumors, this too high should be reduced 0.

参考文章(16)
Mary J O'Connor, Bradford L Currier, Metastatic disease of the spine. Orthopedics. ,vol. 15, pp. 611- 620 ,(1992) , 10.3928/0147-7447-19920501-13
K D Harrington, Metastatic disease of the spine. Journal of Bone and Joint Surgery, American Volume. ,vol. 68, pp. 1110- 1115 ,(1986) , 10.2106/00004623-198668070-00025
K W Hammerberg, Surgical treatment of metastatic spine disease. Spine. ,vol. 17, pp. 1148- 1153 ,(1992) , 10.1097/00007632-199210000-00004
RONALD L. DeWALD, KEITH H. BRIDWELL, CHADWICK PRODROMAS, MARY F. RODTS, Reconstructive spinal surgery as palliation for metastatic malignancies of the spine. Spine. ,vol. 10, pp. 21- 26 ,(1985) , 10.1097/00007632-198501000-00004
M. Nottebaert, G. U. Exner, A. R. von Hochstetter, A. Schreiber, Metastatic bone disease from occult carcinoma: a profile International Orthopaedics. ,vol. 13, pp. 119- 123 ,(1989) , 10.1007/BF00266372
YASUAKI TOKUHASHI, HIROMI MATSUZAKI, SADAYOSHI TORIYAMA, HISASHI KAWANO, SHUNZO OHSAKA, Scoring system for the preoperative evaluation of metastatic spine tumor prognosis. Spine. ,vol. 15, pp. 1110- 1113 ,(1990) , 10.1097/00007632-199011010-00005
K Tomita, Y Toribatake, N Kawahara, H Ohnari, H Kose, Total en bloc spondylectomy and circumspinal decompression for solitary spinal metastasis Spinal Cord. ,vol. 32, pp. 36- 46 ,(1994) , 10.1038/SC.1994.7
Frederick F. Holmes, Terry L. Fouts, Metastatic cancer of unknown primary site Cancer. ,vol. 26, pp. 816- 820 ,(1970) , 10.1002/1097-0142(197010)26:4<816::AID-CNCR2820260413>3.0.CO;2-R