More help than harm: surgery for metastatic spinal cord compression is associated with more favorable overall survival within a propensity score analysis

European spine journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society

article

Leitner, Lukas¹  Bratschitsch, Gerhard¹  Kostwein, Anna¹  Sadoghi, Patrick¹  Smolle, Maria¹  Leithner, Andreas¹  Posch, Florian² 

[1] Department of Orthopedics and Trauma, Medical University of Graz;Department of Internal Medicine, Medical University of Graz

关键词: Spinal metastasis;    Spinal surgery;    Survival;    Progression;    Neurologic function;   

DOI  :  10.1007/s00586-023-07755-9

学科分类：骨科学

来源: Springer

【 摘 要 】

Purpose Indication for surgical decompression in metastatic spinal cord compression (MSCC) is often based on prognostic scores such as the modified Bauer score (mBs), with favorable prognosis suggestive of surgery and poor prognosis of non-surgical management. This study aimed to clarify if (1) surgery may directly affect overall survival (OS) aside from short-term neurologic outcome, (2) explore whether selected patient subgroups with poor mBs might still benefit from surgery, and (3) gauge putative adverse effects of surgery on short-term oncologic outcomes.

【 授权许可】

CC BY