Scoring system for the preoperative evaluation of metastatic spine tumor prognosis

An assessment system for the prognosis of metastatic spine tumors was evaluated for 64 cases who had undergone surgery. Six parameters were employed in the assessment system: 1) the general condition, 2) the number of extraspinal bone metastases, 3) the number of metastases in the vertebral body, 4)...

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Bibliographic Details
Published inSpine (Philadelphia, Pa. 1976) Vol. 15; no. 11; p. 1110
Main Authors Tokuhashi, Y, Matsuzaki, H, Toriyama, S, Kawano, H, Ohsaka, S
Format Journal Article
LanguageEnglish
Published United States 01.11.1990
Subjects
Curettage
Female
Humans
Male
Middle Aged
Palliative Care
Preoperative Care
Prognosis
Spinal Fusion
Spinal Neoplasms - mortality
Spinal Neoplasms - secondary
Spinal Neoplasms - surgery
Survival Analysis
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Summary:An assessment system for the prognosis of metastatic spine tumors was evaluated for 64 cases who had undergone surgery. Six parameters were employed in the assessment system: 1) the general condition, 2) the number of extraspinal bone metastases, 3) the number of metastases in the vertebral body, 4) metastases to the major internal organs (lungs, liver, kidneys, and brain), 5) the primary site of the cancer, and 6) the severity of spinal cord palsy. Each parameter ranged from 0 to 2 points. The total score obtained for each patient can be correlated with the prognosis, while being valuable in predicting it. However, the prognosis could not be predicted from a single parameter. In conclusion, an excisional operation should be performed on those cases who scored above 9 points, while a palliative operation is indicated for those who scored under 5 points.
ISSN:0362-2436
DOI:10.1097/00007632-199011010-00005