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KMID : 1145220230200020608
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Neurospine
2023 Volume.20 No. 2 p.608 ~ p.619
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The Role and Clinical Outcomes of Endoscopic Spine Surgery of Treating Spinal Metastases; Outcomes of 29 Cases From 8 Countries
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Siravich Suvithayasiri
Kim Young-Jin
Yanting Liu
Warayos Trathitephun
Akarawit Asawasaksakul
Javier Quillo-Olvera
Vit Kotheeranurak
Haroldo Chagas
Cristian Correa Valencia
Marcus Vinicius Serra
Facundo Van Isseldyk
Lung-Hsing Lee
Chien-Min Chen
Pramod Lokhande
Park Sang-Min
Khanathip Jitpakdee
Kandarpkumar K. Patel
Kim Jung-Hoon
Akaworn Mahatthanatrakul
Panya Luksanapruksa
Sirichai Wilartratsami
Kim Jin-Sung
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Abstract
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Objective :We aim to report the outcomes and feasibility of endoscopic spine surgery used to treat symptomatic spinal metastases patients. This is the most extensive series of spinal metastases patients who underwent endoscopic spine surgery.
Methods : A worldwide collaborative network group of endoscopic spine surgeons, named ‘ESSSORG,’ was established. Patients diagnosed with spinal metastases who underwent endoscopic spine surgery from 2012 to 2022 were retrospectively reviewed. All related patient data and clinical outcomes were gathered and analyzed before the surgery and the follow-time period of 2 weeks, 1 month, 3 months, and 6 months.
Results : A total of 29 patients from South Korea, Thailand, Taiwan, Mexico, Brazil, Argentina, Chile, and India, were included. The mean age was 59.59 years, and 11 of them were female. The total number of decompressed levels was 40. The technique was relatively equal (15 uniportal; 14 biportal). The average length of admission was 4.41 days. Of all patients with an American Spinal Injury Association Impairment Scale of D or lower before surgery, 62.06% reported having at least one recovery grade after the surgery. Almost all clinical outcomes parameters statistically significantly improved and maintained from 2 weeks to 6 months after the surgery. Few surgical-related complications (4 cases) were reported.
Conclusion : Endoscopic spine surgery is a valid option for treating spinal metastases patients as it could yield comparable results to other minimally invasive spine surgery techniques. As the aim is to improve the quality of life, this procedure is valuable and holds value in palliative oncologic spine surgery.
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KEYWORD
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Endoscopic spine surgery, Spinal metastases, Minimally invasive spine surgery, Palliative surgery, Quality of life
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