The Role and Clinical Outcomes of Endoscopic Spine Surgery of Treating Spinal Metastases; Outcomes of 29 Cases From 8 Countries

Autor: Siravich Suvithayasiri, Young-Jin Kim, Yanting Liu, Warayos Trathitephun, Akarawit Asawasaksaku, Javier Quillo-Olvera, Vit Kotheeranurak, Haroldo Chagas, Cristian Correa Valencia, Marcus Vinicius Serra, Facundo Van Isseldyk, Lung-Hsing Lee, Chien-Min Chen, Pramod Lokhande, Sang-Min Park, Khanathip Jitpakdee, Kandarpkumar K. Patel, Jung-Hoon Kim, Akaworn Mahatthanatrakul, Panya Luksanapruksa, Sirichai Wilartratsami, Jin-Sung Kim
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Neurospine, Vol 20, Iss 2, Pp 608-619 (2023)
Druh dokumentu: article
ISSN: 2586-6583
2586-6591
DOI: 10.14245/ns.2346274.137
Popis: Objective We aim to report the outcomes and feasibility of endoscopic spine surgery used to treat symptomatic spinal metastases patients. This is the most extensive series of spinal metastases patients who underwent endoscopic spine surgery. Methods A worldwide collaborative network group of endoscopic spine surgeons, named ‘ESSSORG,’ was established. Patients diagnosed with spinal metastases who underwent endoscopic spine surgery from 2012 to 2022 were retrospectively reviewed. All related patient data and clinical outcomes were gathered and analyzed before the surgery and the follow-time period of 2 weeks, 1 month, 3 months, and 6 months. Results A total of 29 patients from South Korea, Thailand, Taiwan, Mexico, Brazil, Argentina, Chile, and India, were included. The mean age was 59.59 years, and 11 of them were female. The total number of decompressed levels was 40. The technique was relatively equal (15 uniportal; 14 biportal). The average length of admission was 4.41 days. Of all patients with an American Spinal Injury Association Impairment Scale of D or lower before surgery, 62.06% reported having at least one recovery grade after the surgery. Almost all clinical outcomes parameters statistically significantly improved and maintained from 2 weeks to 6 months after the surgery. Few surgical-related complications (4 cases) were reported. Conclusion Endoscopic spine surgery is a valid option for treating spinal metastases patients as it could yield comparable results to other minimally invasive spine surgery techniques. As the aim is to improve the quality of life, this procedure is valuable and holds value in palliative oncologic spine surgery.
Databáze: Directory of Open Access Journals
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