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Postoperative survival after lumbar instrumented surgery for metastatic spinal tumors: a nationwide population-based cohort analysis – Lumbar Fusion

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This article discusses the postoperative survival period of lumbar spinal metastasis patients who underwent lumbar instrumented surgery. The study collected data from the Korean National Health Insurance Review and Assessment Service database and analyzed the survival rates of patients with metastatic lumbar cancer according to their primary cancer type. The overall median survival rate was found to be 1.11±1.30 years. The study observed that lung, hepatobiliary, and colorectal cancers had relatively short postoperative survival rates, while breast cancer had the best survival period. In contrast, urinary tract cancer had the shortest survival period after surgery. The findings provide important information about the expected survival after instrumented surgery for lumbar spinal metastases

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

CONCLUSION: The postoperative survival period of patients with lumbar metastatic spinal tumors according to different primary cancers after instrumented fusion was ˃1 year overall, with differences according to different primary origins. This result may provide information regarding the expected postoperative survival after instrumented surgery for lumbar spinal metastases.

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Ir J Med Sci. 2023 Jul 14. doi: 10.1007/s11845-023-03459-7. Online ahead of print.ABSTRACTBACKGROUND: It is difficult to predict the expected survival after lumbar instrumented surgery for metastases owing to the difference among different cancer origins and the relatively short survival after surgery.AIMS: The aim of this study is to analyze the postoperative survival period of,

Ir J Med Sci. 2023 Jul 14. doi: 10.1007/s11845-023-03459-7. Online ahead of print.

ABSTRACT

BACKGROUND: It is difficult to predict the expected survival after lumbar instrumented surgery for metastases owing to the difference among different cancer origins and the relatively short survival after surgery.

AIMS: The aim of this study is to analyze the postoperative survival period of lumbar spinal metastasis patients who underwent lumbar instrumented surgery.

METHODS: Data were collected from the Korean National Health Insurance Review and Assessment Service database. Patients who underwent lumbar spinal surgery with instrumentation between January 2011 and December 2015 for metastatic lumbar diseases were reviewed. The mean postoperative survival period of patients with metastatic lumbar cancer according to each primary cancer type was evaluated.

RESULTS: A total of 628 patients were enrolled and categorized according to primary cancer type. The overall median survival rate was 1.11±1.30 years. The three most prevalent primary cancer groups were lung, hepatobiliary, and colorectal cancers, presenting relatively short postoperative survival rates (0.93±1.25, 0.74±0.75 and 0.74±0.88 years, respectively). The best postoperative survival period was observed in breast cancer (2.23±1.83 years), while urinary tract cancer showed the shortest postoperative survival period (0.59±0.69 years).

CONCLUSION: The postoperative survival period of patients with lumbar metastatic spinal tumors according to different primary cancers after instrumented fusion was ˃1 year overall, with differences according to different primary origins. This result may provide information regarding the expected postoperative survival after instrumented surgery for lumbar spinal metastases.

PMID:37450256 | DOI:10.1007/s11845-023-03459-7

The London Spine Unit : the highest rated sugical centre on Harley Street UK

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Postoperative survival after lumbar instrumented surgery for metastatic spinal tumors: a nationwide population-based cohort analysis

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Ir J Med Sci. 2023 Jul 14. doi: 10.1007/s11845-023-03459-7. Online ahead of print.ABSTRACTBACKGROUND: It is difficult to predict the expected survival after lumbar instrumented surgery for metastases owing to the difference among different cancer origins and the relatively short survival after surgery.AIMS: The aim of this study is to analyze the postoperative survival period of

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