Neurological Outcome and Complications in Patients With Surg
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Key Points of the Study

-The objective of the treatment of spinal metastases is the maintenance of quality of life based on the four following pillars: pain relief, maintenance of neurological function, spine stability, and local control of the disease.

-Pain as the first symptom was related to mechanical instability of the spine and the performance of instrumentation.

-The stratification of the patients by SINS score showed a correlation with surgery with instrumentation.

-The patients presented improvement of the neurological function in the postoperative period.

The development of new therapies and screening tests have increased the survival of oncological patients, and consequently, the incidence of metastatic lesions of the spine. The objective of the treatment of these lesions is the maintenance of quality of life based on the four following pillars: pain relief, maintenance of neurological function, spine stability, and local control of the disease. A study was done to evaluate the epidemiology of surgical patients with spinal metastases, identify the complications, and evaluate their neurological prognoses.

40 patients surgically treated after diagnosis of symptomatic spinal cord compression and/or mechanical instability of the spine were included in the study. Pain as the reason for the first visit presented an odds ratio for instrumentation need. A higher SINS score corresponded to the indication for instrumentation surgery due to the instability of the spine . Within 30 days postoperative, five patients (11.1%) had complications. There was a statistically significant neurological improvement in patients who underwent surgery.

Pain as the first symptom was related to mechanical instability of the spine and surgical instrumentation. Patients treated with surgery presented improvement of the neurological function in the postoperative period.

Source: https://journals.lww.com/spinejournal/Fulltext/2020/05150/Neurological_Outcome_and_Complications_in_Patients.12.aspx
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