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01.10.2009 | Original Article

Outcome of excisional surgeries for the patients with spinal metastases

verfasst von: Haomiao Li, Alessandro Gasbarrini, Michele Cappuccio, Silvia Terzi, Stefania Paderni, Loris Mirabile, Stefano Boriani

Erschienen in: European Spine Journal | Ausgabe 10/2009

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Abstract

To evaluate the outcome of the excisional surgeries (en bloc/debulking) in spinal metastatic treatment in 10 years. A total of 131 patients (134 lesions) with spinal metastases were studied. The postoperative survival time and the local recurrence rate were calculated statistically. The comparison of the two procedures on the survival time, local recurrence rate, and neurologic change were made. The median survival time of the en bloc surgery and the debulking surgery was 40.93 and 24.73 months, respectively, with no significant difference. The significant difference was shown in the local recurrence rate comparison, but not in neurological change comparison. 19.85% patients combined with surgical complications. The en bloc surgery can achieve a lower local recurrence rate than the debulking surgery, while was similar in survival outcome, neurological salvage, and incidence of complications. The risk of the excisional surgeries is high, however, good outcomes could be expected.

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Titel: Outcome of excisional surgeries for the patients with spinal metastases
verfasst von: Haomiao Li
Alessandro Gasbarrini
Michele Cappuccio
Silvia Terzi
Stefania Paderni
Loris Mirabile
Stefano Boriani
Publikationsdatum: 01.10.2009
Verlag: Springer-Verlag
Erschienen in: European Spine Journal / Ausgabe 10/2009
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-009-1111-9

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