De la Torre-González DM, Ramírez-Castañeda G, Suárez LAS, Acevedo PGD

Language: Spanish
References: 31
Page: 5-11
PDF size: 258.62 Kb.

ABSTRACT

Background. The spinal column is the most frequent localization of skeletal metastasis that occurs in 40% of cancer patients. The most common primary tumors are breast, prostate and lung, with 39.3%, 23.5% and 19.9% respectively with a slight prevalence shown in males. The thoracic spine seems affected in 70% of cases, followed by lumbar and cervical sites. Objective. To determine the functional results of surgical treatment in patients with thoracolumbar fracture with vertebral metastatic disease in Hospital Juárez de México. Material and methods. In a longitudinal retrospective study applied in the Orthopedics Department, Spinal Column Fellowship, in Hospital Juárez de México, from January 2012 to December 2014; to 10 patients with vertebral metastatic disease, with neurological examination before and after the surgical procedure; different functional scales were used like the Oswestry Disability Index, Tomita Score, Visual Analogue Pain Scale (VAS) and the adapted ASIA Impairment Scale (AIS) to classify each patient. Results. Improvement in the neurological examination was observed in 90% of patients with the following ranges: AIS, 20 to 80%. VAS, 60 to 80%. ODI, 39.13 to 65%. Conclusions. The functional improvement of patients that underwent surgical treatment was determined through AIS, VAS, ODI scales, showing encouraging results and pointing out the importance of surgical treatment, by identifying risk factors like age, gender and spine lesion.

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