The curative effect of surgical treatment for spinal metastases of lung cancer

doi:10.3877/cma.j.issn.2096-0263.2018.01.004

Abstract

Abstract:

Objective

To investigate the curative effect of surgical treatment for spinal metastases of lung cancer.

Methods

A retrospective study was performed in 72 cases of spinal metastases of lung cancer treated in The Second Affiliated Hospital of Zhejiang University and The Second Hospital of Jiaxing. There were 48 males (66.7%) and 24 females (33.3%) with an average age of 61±4 years. The preoperative survival score were evaluated and 39 cases (54.2%) were 6 points, 27 cases (37.5%) were 7 points and 6 cases (8.3%) were 8 points. The Visual Analogue Scale (VAS) score and Frankel classification of two group were compared before and after surgery.

Results

Sixty-five patients (90.2%) were followed-up with a timespan of 6-12 months (8.5±1.6 months on the average). The VAS score decreased to (2.7±1.2) from preoperatively (5.9±1.1), with statisticl significance (t=21.24, P<0.05). The postoperative Frankel score was significantly improved, with statisticl significance (Z=-4.978, P<0.05). 5 patients among 42 cases with neurological deficit were not improved, 37 cases were partially recovered (Z=-4.978, P<0.05).

Conclusion

Surgical treatment can relieve the pain and improve the neurological function of patients with spinal metastases of lung cancer.

Key words: Spine, Lung neoplasms, Neoplasma metastasis, Surgal procedures, operative

Huigen Lu, Xin Huang, Zhongwei Zhang, Zhaoming Ye. The curative effect of surgical treatment for spinal metastases of lung cancer[J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2018, 04(01): 14-19.

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References 15

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术前神经功能Frankel评分	术后神经功能Frankel评分
术前神经功能Frankel评分	A级	B级	C级	D级	E级
A级	3	1	?	?	?
B级	?	1	3	1	?
C级	?	?	?	12	8
D级	?	?	?	?	13
E级	?	?	?	?	0

术前神经功能Frankel评分	术后神经功能Frankel评分
术前神经功能Frankel评分	A级	B级	C级	D级	E级
A级	3	1	?	?	?
B级	?	1	3	1	?
C级	?	?	?	12	8
D级	?	?	?	?	13
E级	?	?	?	?	0

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