Progress of decompression surgery for spinal metastases.
10.12200/j.issn.1003-0034.2023.01.017
- Author:
Xiong-Wei ZHAO
1
;
Xu-Yong CAO
1
;
Yao-Sheng LIU
2
,
3
Author Information
1. Department of Orthopaedics, the Fifth Medical Center of PLA General Hospital, Beijing 100071, China.
2. Department of Orthopaedics, the Fifth Medical Center of PLA General Hospital, Beijing 100071, China
3. School of Orthopaedics, PLA General Hospital, National Clinical Research Center of Orthopaedics and Sports Rehabilitation, Beijing 100071, China.
- Publication Type:Journal Article
- Keywords:
Decompression;
Epidural spinal cord compression;
Review;
Spinal metastases
- MeSH:
Humans;
Spinal Cord Compression/surgery*;
Spinal Neoplasms/secondary*;
Decompression, Surgical/methods*;
Spine/surgery*;
Retrospective Studies;
Treatment Outcome
- From:
China Journal of Orthopaedics and Traumatology
2023;36(1):92-98
- CountryChina
- Language:Chinese
-
Abstract:
The spine is the most common site of bone metastases from malignant tumors, with metastatic epidural spinal cord compression occurring in about 10% of patients with spinal metastases. Palliative radiotherapy and simple laminectomy and decompression have been the main treatments for metastatic spinal cord compression. The former is ineffective and delayed for radiation-insensitive tumors, and the latter often impairs spinal stability. With the continuous improvement of surgical techniques and instrumentation in recent years, the treatment model of spinal metastases has changed a lot. Decompression surgery underwent open decompression, separation surgery, minimally invasive surgery and laser interintermal thermal ablation decompression. However, no matter what kind of surgical plan is adopted, it should be assessed precisely according to the specific situation of the patient to minimize the risk of surgery as far as possible to ensure the smooth follow-up radiotherapy. This paper reviews the research progress of decompression for spinal metastases.
