Minimally invasive option using percutaneous pedicle screw for instability of metastasis involving thoracolumbar and lumbar spine : a case series in a single center

Journal of Korean Neurosurgical Society
Ho-Young ParkWhan Eoh

Abstract

To report a minimally invasive treatment option using percutaneous pedicle screw fixation with adjuvant treatment for metastatic thoraco-lumbar and lumbar spinal tumors. 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). 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 ...Continue Reading

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Citations

Mar 12, 2016·Annals of Surgical Oncology·Anne L VersteegF Cumhur Oner
Jul 13, 2016·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Jorrit-Jan VerlaanF Cumhur Oner
Mar 8, 2017·British Journal of Neurosurgery·Abdulkader HamadBirender Balain
Jun 28, 2020·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Sezgin Bahadır TekinVolkan Kılınçoğlu
Mar 8, 2017·Journal of Korean Neurosurgical Society·Pius Kim, Seok Won Kim

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