6533b7dafe1ef96bd126f66b
RESEARCH PRODUCT
Metastatic spinal cord compression--options for surgical treatment.
J. HeineP. EyselJan D. RompeCh. Hopfsubject
AdultMalemedicine.medical_specialtyNeurologyThoracic VertebraeCentral nervous system diseasePostoperative ComplicationsSpinal cord compressionmedicineHumansNeuroradiologyAgedAged 80 and overNeurologic ExaminationLumbar VertebraeSpinal Neoplasmsmedicine.diagnostic_testbusiness.industryInterventional radiologyMiddle AgedSpinal cordmedicine.diseaseMagnetic Resonance ImagingSurgerymedicine.anatomical_structureSpinal FusionSurgeryFemaleNeurology (clinical)NeurosurgeryComplicationbusinessTomography X-Ray ComputedSpinal Cord Compressiondescription
Fourty-three cases with metastatic spinal cord compression were reviewed post-operatively to clarify the usefulness of the procedures concerning restoration of neurological function, and pain relief. Only patients with pathological spinal instability and neurological sequelae were included. Posterior decompression and stabilization was performed in all but six patients. All but four patients (91%) reported decrease of pain symptoms. Amelioration of neurological function was achieved in 58%. Re-establishment of walking ability was obtained in 57%. Post-surgery life expectancy averaged 11 months. In patients with widespread metastatic disease and/or multi-level instability of the spine restriction to palliative dorsal procedures is sensible. Post-operative ancillary treatment is necessary.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 1993-09-01 | Acta neurochirurgica |