Neurological Outcome Following Surgical Treatment of Spinal Metastases

Background Data: Spinal metastases lead to bony instability and spinal cord compression resulting in intractable pain and neurological deficits which affects ambulatory function and quality of life, the most appropriate treatment for spinal metastasis is still debated. Purpose: The aim of this stud...

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Autores principales:	Abdelaal Abdelbaky, Hazem Eltahawy
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2014
Materias:	Spinal metastases Surgical decompression quality of life Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/46aecb2338d14d5dacbc9f37ca27c9c2
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spelling	oai:doaj.org-article:46aecb2338d14d5dacbc9f37ca27c9c22021-12-02T05:59:12ZNeurological Outcome Following Surgical Treatment of Spinal MetastasesDOI:10.21608/ESJ.2014.39382314-89502314-8969https://doaj.org/article/46aecb2338d14d5dacbc9f37ca27c9c22014-10-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_3938.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Spinal metastases lead to bony instability and spinal cord compression resulting in intractable pain and neurological deficits which affects ambulatory function and quality of life, the most appropriate treatment for spinal metastasis is still debated. Purpose: The aim of this study to evaluate clinical, quality of life, complications and survival outcomes after surgical treatment of spinal metastases. Design: It is a retrospective study. Patients and Methods: Retrospective review of patients with spinal metastases surgically treated at our facility between March 2008 and March 2013 was performed. Evaluations include hospital charts, initial and interval imaging studies, neurological outcome and surgical complications, Follow-up examinations were performed every three months after surgery Results: 70 patients underwent surgical intervention for treatment of spinal metastasis in our institution. There were 27 women and 43 men. Preoperative pain was reported in 65 patients (93%), whereas postoperative complete pain relief was reported in 16 patients (24%) and pain levels decreased in 38 patients (58%). Preoperative 39 patients were ambulant and 31 patients were non-ambulant. Postoperative 52 patients were ambulant and 18 patients were non-ambulant. Postoperative complications were experienced in 10 (14.2%) patients, the patient survival rate was 71% (50 patients) at 3 months, 49 %( 34 patients) at 1 year. The postoperative 30-day mortality rate was 4.2%. Conclusion: Surgical decompression for metastatic spinal tumor can improve quality of life in a substantially high percentage of patients with acceptable complications rate. (2015ESJ080)Abdelaal AbdelbakyHazem EltahawyEgyptian Spine AssociationarticleSpinal metastasesSurgical decompressionquality of lifeNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 12, Iss 1, Pp 21-26 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Spinal metastases Surgical decompression quality of life Neurology. Diseases of the nervous system RC346-429
spellingShingle	Spinal metastases Surgical decompression quality of life Neurology. Diseases of the nervous system RC346-429 Abdelaal Abdelbaky Hazem Eltahawy Neurological Outcome Following Surgical Treatment of Spinal Metastases
description	Background Data: Spinal metastases lead to bony instability and spinal cord compression resulting in intractable pain and neurological deficits which affects ambulatory function and quality of life, the most appropriate treatment for spinal metastasis is still debated. Purpose: The aim of this study to evaluate clinical, quality of life, complications and survival outcomes after surgical treatment of spinal metastases. Design: It is a retrospective study. Patients and Methods: Retrospective review of patients with spinal metastases surgically treated at our facility between March 2008 and March 2013 was performed. Evaluations include hospital charts, initial and interval imaging studies, neurological outcome and surgical complications, Follow-up examinations were performed every three months after surgery Results: 70 patients underwent surgical intervention for treatment of spinal metastasis in our institution. There were 27 women and 43 men. Preoperative pain was reported in 65 patients (93%), whereas postoperative complete pain relief was reported in 16 patients (24%) and pain levels decreased in 38 patients (58%). Preoperative 39 patients were ambulant and 31 patients were non-ambulant. Postoperative 52 patients were ambulant and 18 patients were non-ambulant. Postoperative complications were experienced in 10 (14.2%) patients, the patient survival rate was 71% (50 patients) at 3 months, 49 %( 34 patients) at 1 year. The postoperative 30-day mortality rate was 4.2%. Conclusion: Surgical decompression for metastatic spinal tumor can improve quality of life in a substantially high percentage of patients with acceptable complications rate. (2015ESJ080)
format	article
author	Abdelaal Abdelbaky Hazem Eltahawy
author_facet	Abdelaal Abdelbaky Hazem Eltahawy
author_sort	Abdelaal Abdelbaky
title	Neurological Outcome Following Surgical Treatment of Spinal Metastases
title_short	Neurological Outcome Following Surgical Treatment of Spinal Metastases
title_full	Neurological Outcome Following Surgical Treatment of Spinal Metastases
title_fullStr	Neurological Outcome Following Surgical Treatment of Spinal Metastases
title_full_unstemmed	Neurological Outcome Following Surgical Treatment of Spinal Metastases
title_sort	neurological outcome following surgical treatment of spinal metastases
publisher	Egyptian Spine Association
publishDate	2014
url	https://doaj.org/article/46aecb2338d14d5dacbc9f37ca27c9c2
work_keys_str_mv	AT abdelaalabdelbaky neurologicaloutcomefollowingsurgicaltreatmentofspinalmetastases AT hazemeltahawy neurologicaloutcomefollowingsurgicaltreatmentofspinalmetastases
_version_	1718400107113611264

Neurological Outcome Following Surgical Treatment of Spinal Metastases

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