Issues After Percutaneous Pedicle Screw Fixation for the Remedy of Unstable Spinal Metastases.
Ann Surg Oncol. 2016 Jul;23(7):2343-9
Authors: Versteeg AL, Verlaan JJ, de Baat P, Jiya TU, Stadhouder A, Diekerhof CH, van Solinge GB, Oner FC
BACKGROUND: Issues after surgical stabilization for the remedy of unstable spinal metastases are widespread. Much less invasive surgical (LIS) procedures are doubtlessly related to a decrease danger of issues; nevertheless, little is thought relating to the issues after LIS procedures for the remedy of spinal metastases. Our major goal was to find out the traits and fee of issues after percutaneous pedicle screw fixation (PPSF) for the remedy of mechanically unstable spinal metastases. The secondary goal was to determine elements related to the prevalence of issues and survival.
METHODS: A retrospective multicenter cohort research of sufferers who underwent PPSF between 2009 and 2014 for the remedy of unstable spinal metastases was carried out. Affected person information pertaining to demographics, prognosis, remedy, neurologic operate, issues, and survival have been collected.
RESULTS: A complete of 101 sufferers have been recognized, 45 males (45 %) and 56 ladies (55 %) with a imply age of 60.three ± 11.2 years. The median working time was 122 (vary 57-325) minutes with a median blood lack of 100 ml (based mostly on 41 topics). Eighty-eight sufferers (87 %) ambulated inside the first three days after surgical procedure. An general median survival of 11.Zero (vary Zero-70) months was noticed, with 79 % of the sufferers alive at three months after remedy. Eighteen sufferers skilled a complete of 30 issues; nonsurgical issues have been essentially the most generally encountered. Extended working time was independently related to an elevated danger of issues.
CONCLUSIONS: A complication fee of 18 % was discovered after PPSF for unstable spinal metastases. Potential benefits of much less invasive remedy are restricted blood loss and excessive early ambulation fee.
PMID: 26965698 [PubMed – indexed for MEDLINE]