Surgical remedy 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 info and inconclusive outcomes for the administration of sufferers with cervical backbone metastases. Subsequently, we carried out this examine to judge the survival and end result of those sufferers, and the surgical threat and issues.
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 remedy, from December 2010 to December 2016. Imply follow-up was 14 months (vary 1-42 months). We evaluated the survival and the end result of the sufferers with respect to ache reduction and neurological standing, and the surgical threat and issues.
RESULTS: On the final follow-up, three sufferers have been alive with illness, and 21 sufferers have been lifeless with illness. General 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. General, 21 sufferers skilled full or virtually full, two sufferers delicate, and one affected person no ache reduction; seven sufferers skilled full neurological enchancment, two sufferers reasonable, whereas 4 sufferers remained secure. General, 5 sufferers skilled six issues together with residual ache, sagittal malalignment with instability, and wound dehiscence; in 5 issues, a reoperation was crucial.
CONCLUSIONS: Palliative surgical remedy is often carried out in sufferers with metastatic bone illness of the cervical backbone. Acceptable number of the surgical method is obligatory. Nonetheless, the survival of the sufferers is dismal, and issues ought to be anticipated.
PMID: 28638950 [PubMed – indexed for MEDLINE]