Prognostic factors in anterior decompression for metastatic cord compression. An analysis of results

During the 10-year period 1981-1990, 59 patients suffering from spinal cord or cauda equina compression underwent anterior spinal decompression and in most cases spinal restabilization with methylmethacrylate cement and/or instrumentation. Follow-up in 55 patients showed that 75% were improved neuro...

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Bibliographic Details
Published inEuropean spine journal Vol. 3; no. 2; p. 70
Main Authors Sucher, E, Margulies, J Y, Floman, Y, Robin, G C
Format Journal Article
LanguageEnglish
Published Germany 01.04.1994
Subjects
Adult
Aged
Bone Cements
Bone Plates
Bone Screws
Female
Follow-Up Studies
Humans
Male
Methylmethacrylate
Methylmethacrylates
Middle Aged
Retrospective Studies
Spinal Cord Compression - etiology
Spinal Cord Compression - surgery
Spinal Neoplasms - complications
Spinal Neoplasms - secondary
Treatment Outcome
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Summary:During the 10-year period 1981-1990, 59 patients suffering from spinal cord or cauda equina compression underwent anterior spinal decompression and in most cases spinal restabilization with methylmethacrylate cement and/or instrumentation. Follow-up in 55 patients showed that 75% were improved neurologically by the procedure, one-third of these showing complete recovery from the spinal cord compression. The results in younger female patients suffering from metastatic breast cancer were considerably better than those of older men with prostatic metastases. Other genitourinary system tumors also had a relatively poorer prognosis. There was a significantly better result for metastatic lesions of the thoracic or thoracolumbar spine than for lesions in the lumbar spine causing cauda equina paralysis.
ISSN:0940-6719
1432-0932
DOI:10.1007/BF02221443