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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 100 - 107 (8page)
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초록· 키워드
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Objective : To report a minimally invasive treatment option using percutaneous pedicle screw fixation with adjuvant treatment for metastatic thoraco-lumbar and lumbar spinal tumors. Methods : This is a retrospective study of charts of patients with spinal metastases. All were older than 18 years of age and were considered to have more than 3 months of life expectancy. The patients had single or two level lesions, and compression fracture or impending fracture. Exclusion criterion was metastasis showing severe epidural compression with definite neurological symptoms. Usually spinal segments from one level above to below pathology were stabilized. Visual analog scale (VAS) score for pain assessment and Frankel scale for neurological deficit were used, while pre- and post-operative performance status was evaluated using the Eastern Cooperative Oncology Group (ECOG). Results : Twelve patients (nine men, three women; median age 54.29 years) underwent surgery. All patients presented with back pain with/without radicular pain. There were no early complications and perioperative mortalities. Following surgery, a significant difference between average pre- and post-operative VAS scores was found (p=0.003). Overall, 91.8% of patients (11/12) experienced improvement in their ECOG score post-operatively. The mean ambulation time was 196.9 days [95% confidence interval (CI), 86.2-307.6 days; median, 97 days]. During follow-up, nine patients died and the mean overall survival time in enrolled twelve patients was 249.9 days (95% CI, 145.3-354.4 days; median, 176 days). Conclusion : Minimally invasive treatment using percutaneous pedicle screw fixation with adjuvant treatment is a good alternative treatment option for potential instability of the thoraco-lumbar and lumbar spinal metastasis.
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등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
Bailar JC 3rd. / 1997 / Cancer undefeated / N Engl J Med 336:1569~1574
Bartels RH. / 2007 / Development of a model with which to predict the life expectancy of patients with spinal epidural metastasis / Cancer 110:2042~2049
Cunha MV. / 2012 / Vertebral compression fracture(VCF)after spine stereotactic body radiation therapy(SBRT) : analysis of predictive factors / Int J Radiat Oncol Biol Phys 84:e343~e349
Di Martino A. / 2009 / ‘Internal bracing’ surgery in the management of solid tumor metastases of the thoracic and lumbar spine / Oncol Rep 21:431~435
Falicov A. / 2006 / Impact of surgical intervention on quality of life in patients with spinal metastases / Spine(Phila Pa 1976) 31:2849~2856
Bartels RH. / 2007 / Development of a model with which to predict the life expectancy of patients with spinal epidural metastasis / Cancer 110:2042~2049
Cunha MV. / 2012 / Vertebral compression fracture(VCF)after spine stereotactic body radiation therapy(SBRT) : analysis of predictive factors / Int J Radiat Oncol Biol Phys 84:e343~e349
Di Martino A. / 2009 / ‘Internal bracing’ surgery in the management of solid tumor metastases of the thoracic and lumbar spine / Oncol Rep 21:431~435
Falicov A. / 2006 / Impact of surgical intervention on quality of life in patients with spinal metastases / Spine(Phila Pa 1976) 31:2849~2856
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