Unilateral posterolateral decompression without stabilization for neurological palliation of symptomatic spinal metastasis in debilitated patients

Journal of Neurosurgery
S J Weller, E Rossitch

Abstract

Patients with symptomatic spinal metastases and limited life expectancy are often too debilitated to withstand anterior or posterolateral spinal cord decompression and segmental stabilization. More limited surgery aiming solely at preservation or restoration of neurological function and relief from pain offers the potential for significant improvement in the quality of remaining life without incurring undue perioperative morbidity and mortality. Eight patients with spinal metastases and limited life expectancy underwent a unilateral transpedicular decompression procedure on their most symptomatic side and/or the side of maximum tumor involvement. All patients were neurologically improved within the 1st postoperative week; all were ambulatory and continent postoperatively. Postoperatively, all five patients with preoperative motor deficits demonstrated increased motor strength, and the three patients with predominant radicular pain reported marked improvement. There were no perioperative deaths and two transient perioperative complications. The average length of hospitalization was 6 days for patients without complications and 10 days for the entire group. Unilateral transpedicular decompression without stabilization is an effec...Continue Reading

References

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Citations

Aug 25, 2004·Neurosurgical Focus·Timothy C RykenDaniel K Resnick
Sep 1, 1996·Journal of Neurosurgery·N SundaresanK Kelliher
Apr 13, 1999·Journal of Neurosurgery·D ChristenssonU Rydholm
Jun 11, 2005·Journal of Neurosurgery. Spine·Richard B NorthPaul C McAfee
Apr 15, 2014·Annals of Surgical Oncology·Neil R MalhotraSherman C Stein
Sep 29, 2004·Neurosurgery Clinics of North America·Paul KlimoRichard G Fessler
Aug 2, 2016·Neurosurgical Focus·Camilo MolinaDaniel M Sciubba
Jun 25, 2002·Spinal Cord·A SchoegglC Matula
Aug 16, 2017·Global Spine Journal·Michelle J ClarkeDaniel M Sciubba

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