Improved patient selection by stratified surgical intervention: Aarhus Spinal Metastases Algorithm

The Spine Journal : Official Journal of the North American Spine Society
Miao WangKristian Hoey

Abstract

Choosing the best surgical treatment for patients with spinal metastases remains a significant challenge for spine surgeons. There is currently no gold standard for surgical treatments. The Aarhus Spinal Metastases Algorithm (ASMA) was established to help surgeons choose the most appropriate surgical intervention for patients with spinal metastases. The purpose of this study was to evaluate the clinical outcome of stratified surgical interventions based on the ASMA, which combines life expectancy and the anatomical classification of patients with spinal metastases to inform surgical decision making. This is a retrospective study based on a prospective database. A consecutive series of 515 spinal metastatic patients who underwent surgically treatment from December 1992 to June 2012 in Aarhus University Hospital were included prospectively and analyzed in detail retrospectively. Survival time after surgery was determined for all patients. Neurological function was assessed using the Frankel score preoperatively and postoperatively (at the time of discharge). Complete outcome data were retrieved in 97.5% of this cohort. Patients with spinal metastases were identified from an institutional database that prospectively collected data...Continue Reading

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Citations

Mar 2, 2016·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Rupen DesaiOren N Gottfried
May 26, 2017·Orthopaedic Surgery·Mark CurtinAiden Devitt

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