Outcome of excisional surgeries for the patients with spinal metastases

Haomiao Li, Alessandro Gasbarrini, Michele Cappuccio, Silvia Terzi, Stefania Paderni, Loris Mirabile, Stefano Boriani

Research output: Contribution to journalArticlepeer-review

Abstract

To evaluate the outcome of the excisional surgeries (en bloc/debulking) in spinal metastatic treatment in 10 years. A total of 131 patients (134 lesions) with spinal metastases were studied. The postoperative survival time and the local recurrence rate were calculated statistically. The comparison of the two procedures on the survival time, local recurrence rate, and neurologic change were made. The median survival time of the en bloc surgery and the debulking surgery was 40.93 and 24.73 months, respectively, with no significant difference. The significant difference was shown in the local recurrence rate comparison, but not in neurological change comparison. 19.85% patients combined with surgical complications. The en bloc surgery can achieve a lower local recurrence rate than the debulking surgery, while was similar in survival outcome, neurological salvage, and incidence of complications. The risk of the excisional surgeries is high, however, good outcomes could be expected.

Original languageEnglish
Pages (from-to)1423-1430
Number of pages8
JournalEuropean Spine Journal
Volume18
Issue number10
DOIs
Publication statusPublished - 2009

Keywords

  • Prognosis
  • Spinal metastasis
  • Surgical treatment

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

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