Non-fusion palliative spine surgery without reconstruction is safe and effective in spinal metastasis patients: retrospective study

Abstract Considering the shorter life expectancy and poorer prognosis of metastatic epidural spinal cord compression patients, anterior reconstruction and fusion may be unnecessary. This study aimed to investigate the outcomes of palliative surgery for metastatic epidural spinal cord compression wit...

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Autores principales:	Siravich Suvithayasiri, Borriwat Santipas, Sirichai Wilartratsami, Monchai Ruangchainikom, Panya Luksanapruksa
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/846d30d52eb14478b481702ef7d8e01f
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spelling	oai:doaj.org-article:846d30d52eb14478b481702ef7d8e01f2021-12-02T15:28:57ZNon-fusion palliative spine surgery without reconstruction is safe and effective in spinal metastasis patients: retrospective study10.1038/s41598-021-97056-22045-2322https://doaj.org/article/846d30d52eb14478b481702ef7d8e01f2021-09-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-97056-2https://doaj.org/toc/2045-2322Abstract Considering the shorter life expectancy and poorer prognosis of metastatic epidural spinal cord compression patients, anterior reconstruction and fusion may be unnecessary. This study aimed to investigate the outcomes of palliative surgery for metastatic epidural spinal cord compression with neurological deficit among patients who underwent posterior decompression and instrumentation without fusion or anterior reconstruction. This single-center retrospective review included all patients aged > 18 years with thoracic or lumbar spinal metastasis who were surgically treated for metastatic spinal cord compression without fusion or anterior reconstruction at the Department of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand during July 2015 to December 2017. Data from preoperation to the 1-year follow-up, including demographic and clinical data, Frankel classification, pain scores, complication, revision surgery, health-related quality-of-life scores, and survival data, were collected and analyzed. A total of 30 patients were included. The mean age was 59.83 ± 11.73 years, and 20 (66.7%) patients were female. The mean operative time was 208.17 ± 58.41 min. At least one Frankel grade improvement was reported in 53.33% of patients. The pain visual analog scale, the EuroQOL five-dimension five-level utility score, and the Oswestry Disability Index were all significantly improved at a minimum of 3 months after surgery. No intraoperative mortality or instrument-related complication was reported. The mean survival duration was 11.4 ± 8.97 months. Palliative non-fusion surgery without anterior reconstruction may be considered as a preferable choice for treating spinal metastasis patients with spinal cord compression with neurological deficits.Siravich SuvithayasiriBorriwat SantipasSirichai WilartratsamiMonchai RuangchainikomPanya LuksanapruksaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Siravich Suvithayasiri Borriwat Santipas Sirichai Wilartratsami Monchai Ruangchainikom Panya Luksanapruksa Non-fusion palliative spine surgery without reconstruction is safe and effective in spinal metastasis patients: retrospective study
description	Abstract Considering the shorter life expectancy and poorer prognosis of metastatic epidural spinal cord compression patients, anterior reconstruction and fusion may be unnecessary. This study aimed to investigate the outcomes of palliative surgery for metastatic epidural spinal cord compression with neurological deficit among patients who underwent posterior decompression and instrumentation without fusion or anterior reconstruction. This single-center retrospective review included all patients aged > 18 years with thoracic or lumbar spinal metastasis who were surgically treated for metastatic spinal cord compression without fusion or anterior reconstruction at the Department of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand during July 2015 to December 2017. Data from preoperation to the 1-year follow-up, including demographic and clinical data, Frankel classification, pain scores, complication, revision surgery, health-related quality-of-life scores, and survival data, were collected and analyzed. A total of 30 patients were included. The mean age was 59.83 ± 11.73 years, and 20 (66.7%) patients were female. The mean operative time was 208.17 ± 58.41 min. At least one Frankel grade improvement was reported in 53.33% of patients. The pain visual analog scale, the EuroQOL five-dimension five-level utility score, and the Oswestry Disability Index were all significantly improved at a minimum of 3 months after surgery. No intraoperative mortality or instrument-related complication was reported. The mean survival duration was 11.4 ± 8.97 months. Palliative non-fusion surgery without anterior reconstruction may be considered as a preferable choice for treating spinal metastasis patients with spinal cord compression with neurological deficits.
format	article
author	Siravich Suvithayasiri Borriwat Santipas Sirichai Wilartratsami Monchai Ruangchainikom Panya Luksanapruksa
author_facet	Siravich Suvithayasiri Borriwat Santipas Sirichai Wilartratsami Monchai Ruangchainikom Panya Luksanapruksa
author_sort	Siravich Suvithayasiri
title	Non-fusion palliative spine surgery without reconstruction is safe and effective in spinal metastasis patients: retrospective study
title_short	Non-fusion palliative spine surgery without reconstruction is safe and effective in spinal metastasis patients: retrospective study
title_full	Non-fusion palliative spine surgery without reconstruction is safe and effective in spinal metastasis patients: retrospective study
title_fullStr	Non-fusion palliative spine surgery without reconstruction is safe and effective in spinal metastasis patients: retrospective study
title_full_unstemmed	Non-fusion palliative spine surgery without reconstruction is safe and effective in spinal metastasis patients: retrospective study
title_sort	non-fusion palliative spine surgery without reconstruction is safe and effective in spinal metastasis patients: retrospective study
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/846d30d52eb14478b481702ef7d8e01f
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Non-fusion palliative spine surgery without reconstruction is safe and effective in spinal metastasis patients: retrospective study

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