Skip to main content

Thoracolumbar vertebral reconstruction after surgery for metastatic spinal tumors: long-term outcomes.

Publication ,  Journal Article
Villavicencio, AT; Oskouian, RJ; Roberson, C; Stokes, J; Park, J; Shaffrey, CI; Johnson, JP
Published in: Neurosurg Focus
September 15, 2005

OBJECT: Metastatic spinal tumors continue to represent a major problem for patients and treating physicians. The purpose of this study was to assess quantitatively the functional outcome, quality of life, and survival rates of patients after major reconstructive spine surgery. METHODS: A prospective database was established and 58 patients were identified who had undergone thoracolumbar vertebral reconstruction for metastatic spinal tumors between March 1993 and October 1999. Surgical indications included disabling pain (92%) and/or progressive neurological dysfunction (60%). Forty-nine patients (85%) had clinical improvement in pain as determined based on the Oswestry pain scale (p < 0.05); 60% demonstrated improvement in their neurological status. The mean neurological improvement in Frankel grade was 1.2 (p < 0.05). The 12-month survival rate was 65%, and all patients who were ambulatory after surgery remained so until the time of death. Instrumentation failure requiring repeated operation occurred in two patients (3.5%), and in 12 patients (21%) local tumor recurrence necessitated repeated surgery. There were no cases of neurological deficit or death related to surgery. CONCLUSIONS: Major anterior thoracolumbar vertebral reconstruction is an effective treatment for local tumor control. More importantly, the authors have demonstrated that surgical treatment can significantly improve the quality of life by improvement of pain control and maintenance of ambulation during the patient's remaining life span.

Duke Scholars

Published In

Neurosurg Focus

DOI

EISSN

1092-0684

Publication Date

September 15, 2005

Volume

19

Issue

3

Start / End Page

E8

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Thoracic Vertebrae
  • Spinal Neoplasms
  • Spinal Cord Compression
  • Retrospective Studies
  • Plastic Surgery Procedures
  • Neurosurgical Procedures
  • Neurology & Neurosurgery
  • Neoplasm Metastasis
  • Longitudinal Studies
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Villavicencio, A. T., Oskouian, R. J., Roberson, C., Stokes, J., Park, J., Shaffrey, C. I., & Johnson, J. P. (2005). Thoracolumbar vertebral reconstruction after surgery for metastatic spinal tumors: long-term outcomes. Neurosurg Focus, 19(3), E8. https://doi.org/10.3171/foc.2005.19.3.9
Villavicencio, Alan T., Rod J. Oskouian, Cliff Roberson, John Stokes, Jongsoo Park, Christopher I. Shaffrey, and J Patrick Johnson. “Thoracolumbar vertebral reconstruction after surgery for metastatic spinal tumors: long-term outcomes.Neurosurg Focus 19, no. 3 (September 15, 2005): E8. https://doi.org/10.3171/foc.2005.19.3.9.
Villavicencio AT, Oskouian RJ, Roberson C, Stokes J, Park J, Shaffrey CI, et al. Thoracolumbar vertebral reconstruction after surgery for metastatic spinal tumors: long-term outcomes. Neurosurg Focus. 2005 Sep 15;19(3):E8.
Villavicencio, Alan T., et al. “Thoracolumbar vertebral reconstruction after surgery for metastatic spinal tumors: long-term outcomes.Neurosurg Focus, vol. 19, no. 3, Sept. 2005, p. E8. Pubmed, doi:10.3171/foc.2005.19.3.9.
Villavicencio AT, Oskouian RJ, Roberson C, Stokes J, Park J, Shaffrey CI, Johnson JP. Thoracolumbar vertebral reconstruction after surgery for metastatic spinal tumors: long-term outcomes. Neurosurg Focus. 2005 Sep 15;19(3):E8.

Published In

Neurosurg Focus

DOI

EISSN

1092-0684

Publication Date

September 15, 2005

Volume

19

Issue

3

Start / End Page

E8

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Thoracic Vertebrae
  • Spinal Neoplasms
  • Spinal Cord Compression
  • Retrospective Studies
  • Plastic Surgery Procedures
  • Neurosurgical Procedures
  • Neurology & Neurosurgery
  • Neoplasm Metastasis
  • Longitudinal Studies