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- Title
Spinal Metastases in a General Hospital, Los Angeles Chile.
- Authors
González, Oscar; Bustamante, Catalina González; Trucco, Nicolas Costa; Contreras, Boris Fuentealba; Barra, Luis Medina; Carrasco, Patricio Campos; Palma, Tatiana Saavedra; Mera, Ramon Segovia; Aguila, Gustavo Canessa
- Abstract
Introduction: Spinal metastases are the most common tumors of the spine, compromising approximately 90% of masses encountered with spinal imaging. Spinal metastases are more commonly found as bone metastasis and approximately 20% present with symptoms of spinal canal invasion and cord compression. The advances in diagnosis and treatment lead to a better survival and prognosis, thus a more complicated management algorithm has devolved requiring a multidisciplinary approach with institutional commitment and support. we review our experience in a General Hospital in the last seven years. Material and Methods: We reviewed 34 patients hospitalized in our center, admitted to the neurosurgery unit between 2000 and 2016, with spinal metastases. Data was collected from their initial admission and from follow-up and electronics records. Statistic analysis was performed using Microsoft Excel 2010 and STATA v10. Results: Of the total number of patients evaluated, all sustained spinal metastases. Mean age was 64 (SD: 17 - 89) years. 59% were mens (20/34). The initial symptoms were axial pain 65% (22/34), radiculophaty 21% (7/34) and motor deficit 14% (5/34). The most affected segment was thoracic (41%) and lumbar (38%). In this case series the etiology of metastases was multiple myeloma/plasmacytoma (44%), follow by lung cancer, breast cancer, prostate cancer and sarcomas with a 9% each one, kidney and gallbladder cancer with 6% each one. Surgical treatment was required in 68% of cases, the other 32% underwent orthopedic management and/or palliative care. 47% (16/34) has a good outcome. 30 day mortality was 6% (2/34); 6-month mortality was 15% (5/34). Loss of follow -up was 12% (4/34). Conclusion: To optimize the outcomes of patients with spinal metastatic disease, a multidisciplinary approach is necessary. The rol of Surgery is important for biopsy, decompression and stabilization. This case series only represent a small sample of the universe of patients suffering because spinal metastases. Emphasis must be done in the early detection of this condition and related complications, and improve medical therapy and paliative care.
- Publication
Global Spine Journal, 2018, Vol 8, p369S
- ISSN
2192-5682
- Publication type
Article
- DOI
10.1177/2192568218771072