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. 2022 Dec 10;17(4):577-583.
doi: 10.1055/s-0042-1758846. eCollection 2022 Dec.

Outcome of Surgical Treatment for Metastatic Spinal Cord Compression: A Single-Center Retrospective Study

Syed Muhammad Maroof Hashmi  1 , Ibrahim Hammoud  1 , Pranaw Kumar  1 , Afaq Ali Sartaj  1 , Kaushik Ghosh  1 , Arupratan Ray  1 , Aprajay Golash  1
Affiliations

Outcome of Surgical Treatment for Metastatic Spinal Cord Compression: A Single-Center Retrospective Study

Syed Muhammad Maroof Hashmi et al. Asian J Neurosurg. .

Abstract

Objective The spinal column is one of the most prevalent regions for metastasis, with an increasing frequency of spinal metastases. Spinal cord metastatic tumor damages the vertebral body, weakens the spinal support, and exerts mass effect on the spinal cord. Overzealous surgical intervention does not provide any additional benefit in most of the spinal metastasis due to shorter life expectancy. The principal goal of this study is to analyze the outcome of various surgical treatments offered to patients with metastatic spinal cord compression (MSCC). Methods Retrospective cohort study including all patients that underwent surgical intervention for MSCC from March 2013 to March 2020. Results A total of 198 patients were included, 113 males and 85 females; the mean age was 62 years. The most common primary cancer was prostate (21.71%) followed by hematological (20.07%) and lung (16.66%). At 6-month postsurgery, 68.68% of patients were Frankel grade D or E (vs. 23.23% preoperatively), 16.6% were grade C (vs 57% preoperatively), and 14.64% were grade A or B (vs. 19.69% preoperatively). Pain on numeric rating scale was decreased from 6.38 ± 3.08 to 3.39 ± 0.73 at 24 hours postsurgery and 1.94 ± 0.67 at 6 months. Conclusion This study found that the majority of patients, undergoing minimally invasive spinal stabilization and decompression for metastatic spinal tumors, have better quality of life, analgesia, and mobility. In conclusion, treatment for spinal metastases should be individualized and a multidisciplinary approach is needed.

Keywords: metastatic spinal cord compression (MSCC); minimally invasive spine (MIS) surgery; spinal cord metastatic tumor; spinal metastasis.

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Conflict of interest statement

Conflict of Interest None declared.

Figures

Fig. 1
Fig. 1
Comparison of preoperative and postoperative walking ability.
Fig. 2
Fig. 2
Comparison of pain score as per numeric rating scale at preoperative, at 24 hours, and at 6 months.
See this image and copyright information in PMC

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