The Journal of the Chugoku-Shikoku Orthopaedic Association
Online ISSN : 1347-5606
Print ISSN : 0915-2695
ISSN-L : 0915-2695
Surgical Treatment for Spinal Metastases
Nobuo KAIShinnosuke NAKAHARATsuyoshi SUENAGAMasato TANAKATaro YAMAUCHI
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1998 Volume 10 Issue 2 Pages 275-279

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Abstract
Postoperative results were evaluated in twenty-eight patients with metastatic spinal tumor who underwent surgical treatment during the last two years. There were fifteen males and thirteen females with a mean age of sixty-three years (range, thirty-seven to seventy-nine). The primary tumor was lung cancer in six patients, multiple myeloma in six, breast cancer in five, prostate cancer in two and uterine cancer in two and so on.
Surgical procedures consisted of laminectomy and posterior fixation in twenty-two patients, vertebral replacement and anterior and posterior fixation in five, and partial sacrectomy in one. For fixation, spinal instrumentation was employed in all patients.
As a result, the rate of survival was 82 per cent (twenty-three of twenty-eight) at three months and 69 per cent (nineteen of twenty-eight) at six months. Mean survival time was 7.2 months in fifteen patients who died.
According to the system of Frankel grading scale, twenty-three of twenty-seven patients who had had a neurological deficit (grade A, B, C or D) preoperatively had complete or partial recovery. Pain relief was achieved in twenty-one of twenty-five patients.
In patients with severe pain or pregressive paralysis, surgical treatment was agressively indicated if the general condition was favorable. Although duration of survival was limited, surgery proved to be beneficial for improving the quality of life.
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© by The Chugoku-Shikoku Orthopaedic Association
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