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KMID : 0613320000060010001
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Journal of the Korean Bone and Joint Tumor Soceity
2000 Volume.6 No. 1 p.1 ~ p.9
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Surgical Treatment for Metastatic Spinal Tumor
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Han Chung-Soo
Kim Ki-Tack
Soh Jae-Ho
Lee Jung-Hee
Shin Dong-Jun
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Abstract
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Purpose : Spine is one of the most common sites of the metastatic bone tumors. Conservative management such as chemotherapy or radiotherapy has been preferred in most cases. However, the neurologic deficit has not been usually improved, and the quality of life was poor. The purpose of this study was to show the efficacy of the surgical treatments for metastatic spinal tumors in terms of postoperative improvements of neurologic deficit and survival time.
Materials and Methods : Authors have reviewed the literatures and analyzed 14 patients of metastatic spinal tumors who were received operative treatments between August 1991 and June 1999 at the our department of orthopaedic surgery.
Results : The most frequent primary tumor was breast cancer in women and lung cancer in men. The thoracic region was the most common site. There was a preponderance of females over males, and the age ranged between 4th and 8th decade. The indications of surgical treatment comprised instability, progressive neurologic findings, resistance to radiotherapy, pathological fracture, long life expectancy( >6weeks), isolated metastasis and need for pathological diagnosis. The degree of preoperative neurological deficit might influence on the improvement of clinical symptoms after surgery.
Conclusion: The surgical treatment reduced the neurological deficit and pain regardless of theoperative methods. In the early stage of neurological deficit, the surgical treatment was important for better prognosis. Recently early active operative treatment was performed for metastaticspinal tumor to minimize the intractable pain and to prevent the progression of the neurologic deficit. Early intervention can improve the quality of life and long term survival.
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KEYWORD
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Metastatic spinal tumor, Surgical treatment
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