Surgical Management of Spinal Metastasis – A Retrospective Analysis of 150 Cases
Journal Title: Kerala Journal of Orthopaedics - Year 2018, Vol 0, Issue 0
Abstract
Introduction: PIntroduction: A Surgical management of spinal metastasis controversial in terms of average life expectancy of the patient [1]. No one can accurately determine the exact life expectancy of a patient. Materials and methods: The purpose of this present study is to evaluate the effectiveness of surgery in indicative cases of spinal metastasis patient. This is a retrospective study from May 2003 to May 2018 (15 years). 150 patients with spinal metastasis from various cancers underwent anterior/posterior or anterior + posterior decompression, instrumentation fusion to reduce pain/or improve neurological status. There were 76 males and 74 females, age group ranged from 37 years to 82 years. These patients were followed up for a minimum of 6 months and a maximum of 10 years. All these patients improved neurologically after surgery to at least one grade and some recovered completely neurologically. There were no intraoperative deaths, three of them died (in 6-week post-surgery) in the perioperative period, 10 of them had pneumonia, 10 had superficial wound infection, 7 had bedsore, and 4 had implant loosening and three of them had deep infection which required reentry to the OT (wound debridement and washout). Conclusion: In conclusion, posterior/anterior or combined anterior + posterior surgery in spinal metastatic patients is an effective treatment and can improve the quality of life of the patient.
Authors and Affiliations
Suresh Pillai, Sunil Paul Pathrose, Abhiram Kannan, Moidu Shameer, G M Shameem G M Shameem, Prince Shanavas Khan, Radhesh Nambiar
Keywords
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