Acta Medica Okayama
Volume 50, Issue 1 1996 Article 5
F EBRUARY 1996
Surgical Treatment for Metastatic Tumors of the Spine
Akira Kawai
∗Yoshiaki Harada
†Masuo Senda
‡Shinsuke Sugihara
∗∗Hajime Inoue
††∗Okayama University,
†Okayama University,
‡Okayama Univeristy,
∗∗Okayama University,
††Okayama University,
Copyright c1999 OKAYAMA UNIVERSITY MEDICAL SCHOOL. All rights reserved.
Surgical Treatment for Metastatic Tumors of the Spine ∗
Akira Kawai, Yoshiaki Harada, Masuo Senda, Shinsuke Sugihara, and Hajime Inoue
Abstract
We report herein the results of anterior or posterior neural decompression with spinal stabi- lization in 16 patients with spinal metastases. Intractable back pain was relieved in 14 patients (87.5%) and 4 had complete pain relief. Neurologic recovery was observed in 8 out of 13 patients (61.5%) who had some neurologic deficits before surgery. The activities of daily living improved in 7 of 9 (77.7%), and 5 out of 8 patients (62.5%) who had been unable to walk before surgery be- came ambulatory after surgery. The average operation time was 3h 15 min with an average blood loss of 2150 ml. No patient died within 1 month after surgery and the median survival was 19.1 months. The results indicated that, if properly indicated, anterior or posterior neural decompres- sion and spinal stabilization is a safe and effective treatment for patients with spinal metastases to improve the quality of life for the patients’ remaining years.
KEYWORDS:spine, neoplasm, metastasis, operation, stabilization
∗PMID: 8701779 [PubMed - indexed for MEDLINE]
Copyright (C) OKAYAMA UNIVERSITY MEDICAL SCHOOL
1 Kawai et al.: Surgical Treatment for Metastatic Tumors of the Spine
Produced by The Berkeley Electronic Press, 1996
2 Acta Medica Okayama, Vol. 50 [1996], Iss. 1, Art. 5
http://escholarship.lib.okayama-u.ac.jp/amo/vol50/iss1/5
3 Kawai et al.: Surgical Treatment for Metastatic Tumors of the Spine
Produced by The Berkeley Electronic Press, 1996
4 Acta Medica Okayama, Vol. 50 [1996], Iss. 1, Art. 5
http://escholarship.lib.okayama-u.ac.jp/amo/vol50/iss1/5
5 Kawai et al.: Surgical Treatment for Metastatic Tumors of the Spine
Produced by The Berkeley Electronic Press, 1996
6 Acta Medica Okayama, Vol. 50 [1996], Iss. 1, Art. 5
http://escholarship.lib.okayama-u.ac.jp/amo/vol50/iss1/5
7 Kawai et al.: Surgical Treatment for Metastatic Tumors of the Spine
Produced by The Berkeley Electronic Press, 1996
