Surgical therapy for metastases of the cervical backbone.
Eur J Orthop Surg Traumatol. 2017 Aug;27(6):763-775
Authors: Vazifehdan F, Karantzoulis VG, Igoumenou VG
BACKGROUND: There are restricted data and inconclusive outcomes for the administration of sufferers with cervical backbone metastases. Due to this fact, we carried out this research to judge the survival and end result of those sufferers, and the surgical threat and problems.
MATERIALS AND METHODS: We retrospectively studied 24 sufferers [14 men and 10 women; mean age, 71 years (range 54-89 years)], with cervical backbone metastases, who underwent palliative surgical therapy, from December 2010 to December 2016. Imply follow-up was 14 months (vary 1-42 months). We evaluated the survival and the result of the sufferers with respect to ache aid and neurological standing, and the surgical threat and problems.
RESULTS: On the final follow-up, three sufferers had been alive with illness, and 21 sufferers had been useless with illness. Total median survival was 14.eight months (vary 1-47 months). A posterior method was carried out in 15 sufferers, an anterior method with corpectomy and fusion in eight sufferers, and a two-stage mixed method in a single affected person. Total, 21 sufferers skilled full or virtually full, two sufferers delicate, and one affected person no ache aid; seven sufferers skilled full neurological enchancment, two sufferers reasonable, whereas 4 sufferers remained steady. Total, 5 sufferers skilled six problems together with residual ache, sagittal malalignment with instability, and wound dehiscence; in 5 problems, a reoperation was needed.
CONCLUSIONS: Palliative surgical therapy is often carried out in sufferers with metastatic bone illness of the cervical backbone. Applicable number of the surgical method is necessary. Nonetheless, the survival of the sufferers is dismal, and problems must be anticipated.
PMID: 28638950 [PubMed – indexed for MEDLINE]