Surgical management of symptomatic spinal metastases. Postoperative outcome and quality of life.

摘要: Study Design. Eighty-six surgical interventions in 76 consecutive patients with symptomatic spinal metastases were reviewed retrospectively. Objectives. To evaluate the postoperative outcome and quality of life surgically treated for metastases. Summary Background Data. The standard treatment is anterior cord decompression stabilization. However, because therapy only palliative, satisfactory high patient acceptance are essential. Methods. medical records all Furthermore, surviving or next kin deceased interviewed by telephone, family doctors care-providing physicians external institutions contacted Results. First-choice was Postoperative mean survival 13.1 months, time at home after surgery 11.1 months. Neurologic improvement regard to Frankel classification observed 58% patients, 93% able walk postoperatively. Pain relief noted 89%. Overall, 67% achieved moderate good general health as shown Karnofsky Index, 80% satisfied very intervention. Moreover, 19% associated complications, local tumor recurrence developed 22% paraplegia ultimately 18% patients. Conclusions. Surgical management metastases, particular decompression, benefit most metastatic lesions terms life. melanoma lung carcinoma, authors advocate exceptional cases.