Volume : X, Issue : II, February - 2020

Spinal metastasis – Single institutional retrospective study at a Tertiary centre – Case series

Brig Maneet Gill, Lt Col Chinmaya Srivastava, Dr Lokesh Gautam

Abstract :

Purpose: A retrospective study of the results of spinal metastasis and neoplastic cord compression was undertaken to determine the effectiveness of surgical treatment in patients undergoing extensive spinal procedures with potential morbidity. Patients and Methods: Over a 3–year period (2017 to 2019), a total of 41 patients underwent surgery (27 male and 14 female, mean age 56 years). The surgery was meant for relieving neural compression and ensuring stability of the spine. There were 11 cases of spinal decompression and fixations and 30 cases with only decompressive laminectomies. Before surgery, 18 patients (45%) were non–ambulatory, with paresis being present in 10. In the 11 patients who underwent spinal fixation/instrumentation following decompression, there were circumferential resections in 02 patients (4.8%), anterior resections in 01(2.4%), and posterior resection in 08 (19.5%). Results: Postoperatively 10 patients (55%) improved in pain, ambulatory status and Karnofsky performance status (KPS). The presence of preoperative paraparesis had major impact on outcome. Conclusion: Our data suggest that the effective surgical treatment of neoplastic compression requires effective resection along with instrumentation. Long–term survival is feasible in a subset of patients with this aggressive surgical approach.

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Article: Download PDF    DOI : 10.36106/ijar  

Cite This Article:

SPINAL METASTASIS‾SINGLE INSTITUTIONAL RETROSPECTIVE STUDY AT A TERTIARY CENTRE‾CASE SERIES, Brig Maneet Gill, Lt Col Chinmaya Srivastava, Dr Lokesh Gautam INDIAN JOURNAL OF APPLIED RESEARCH : Volume-10 | Issue-2 | February-2020

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