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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
6
|
| pubmed:dateCreated |
1997-3-21
|
| pubmed:abstractText |
The results of surgical treatment of vertebral metastases were evaluated from a retrospective review of a consecutive series of 100 patients, with special reference to anatomoclinical aspects and functional outcome. The primary tumour in most cases was lung, breast, or prostate; it was unknown in 11 cases. Diagnosis of the metastasis occurred 4-86 months after that of the primary tumour (lung metastasis: 4 months; breast metastasis: 86 months; prostatic metastasis: 22 months). Patients complained of vertebral pain in 96 cases and/or radicular pain in 43 cases. Intractable pain was observed in lung metastasis in particular. All patients received analgesics, and 57 received morphinics. Walking was impossible for 50 patients. Thirty-eight patients presented with neurologic deficit; neurologic status varied according to the primary tumour. Treatment included anterior surgery in 58 patients, posterior surgery in 33 patients, and combined surgery in 9 patients. Mean duration of hospitalisation was 12 days. No patient was admitted to the intensive care unit. Mean follow-up was 13.5 months. Eighty-nine patients were dead at follow-up, with an average survival of 10 months. Mean survival time was 7 months for patients with lung metastasis, 12 months for those with breast metastasis and 24 months for those with prostatic metastasis. Ten patients were still alive at follow-up (mean follow-up period 45 months, range 17-72 months). Analgesics were stopped for 62 patients following discharge from hospital. Morphinics had to be continued in seven patients. Thirty-five patients out of 50 (70%) recovered walking capacity. Neurologic status improved in 30 out of 38 patients. Although duration of survival was limited, surgery proved to be beneficial in providing a significant and early improvement in the functional status of more than 80% of patients. A precise evaluation of preoperative pain is necessary. Pain is dependent upon the bony lesion, the primary tumour, and the tumoral topography, which defines the surgical approach.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:chemical | |
| pubmed:status |
MEDLINE
|
| pubmed:issn |
0940-6719
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
5
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
407-11
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:8988384-Analgesics,
pubmed-meshheading:8988384-Breast Neoplasms,
pubmed-meshheading:8988384-Combined Modality Therapy,
pubmed-meshheading:8988384-Female,
pubmed-meshheading:8988384-Follow-Up Studies,
pubmed-meshheading:8988384-Humans,
pubmed-meshheading:8988384-Lumbar Vertebrae,
pubmed-meshheading:8988384-Lung Neoplasms,
pubmed-meshheading:8988384-Male,
pubmed-meshheading:8988384-Middle Aged,
pubmed-meshheading:8988384-Pain,
pubmed-meshheading:8988384-Prostatic Neoplasms,
pubmed-meshheading:8988384-Retrospective Studies,
pubmed-meshheading:8988384-Spinal Fusion,
pubmed-meshheading:8988384-Spinal Neoplasms,
pubmed-meshheading:8988384-Survival Rate,
pubmed-meshheading:8988384-Thoracic Vertebrae,
pubmed-meshheading:8988384-Walking
|
| pubmed:year |
1996
|
| pubmed:articleTitle |
Results of surgical treatment of spinal thoracic and lumbar metastases.
|
| pubmed:affiliation |
Service de Chirurgie des Scolioses et Orthopédie Infantile, Hôpital Saint-Jacques, Besançon, France.
|
| pubmed:publicationType |
Journal Article
|