Metastatic spinal cord compression. Clinical remarks

M. Salvati, L. Cervoni, F. Puzzilli, M. Raguso, P. Ciappetta, R. Delfini

Research output: Contribution to journalArticle

Abstract

Background. Metastatic compression of the spinal cord is a frequent occurrence throughout the evolution of neoplastic disease. Possible clinical-diagnostic strategies and therapeutic management of this pathology are discussed in terms of survival and quality of life. Methods. The study includes 59 patients (40 males and 19 females, with an average age of 48.4 years) with metastatic spinal compression treated surgically in our centre (in some cases with stabilization of the spinal segment involved). Results. In 40 cases the localization of the primary tumor was known when the patient was admitted. The segment involved was the dorsal one in 41 cases. The most frequent type of tumor was pulmonary carcinoma in males and breast carcinoma in females. Average survival was 5.3 months. Treatment integrated by stabilization improved the quality of life in comparison to laminectomy alone. Survival was also influenced by the histological type and site of the primary tumor. Conclusions. Surgical treatment not only prolongs survival but, above-all, guarantees a satisfactory quality of life.

Original languageEnglish
Pages (from-to)727-730
Number of pages4
JournalMinerva Chirurgica
Volume53
Issue number9
Publication statusPublished - Sep 1998

Keywords

  • Breast neoplasms secondary
  • Lung neoplasms secondary
  • Neoplasms metastasis, surgery
  • Spinal cord compression

ASJC Scopus subject areas

  • Surgery

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    Salvati, M., Cervoni, L., Puzzilli, F., Raguso, M., Ciappetta, P., & Delfini, R. (1998). Metastatic spinal cord compression. Clinical remarks. Minerva Chirurgica, 53(9), 727-730.