Management of neoplastic spinal tumors in a spine surgery care unit

Zairi, Fahed; Vieillard, Marie-Helene; Devos, Patrick; Aboukais, Rabih; Gras, Louis; Assaker, Richard

Document type :

Article dans une revue scientifique: Article original

DOI :

10.1016/j.clineuro.2014.10.021

PMID :

25462092

Permalink :

http://hdl.handle.net/20.500.12210/17097

Title :

Management of neoplastic spinal tumors in a spine surgery care unit

Author(s) :

Zairi, Fahed [Auteur]

Vieillard, Marie-Helene [Auteur]

Marrow Adiposity & Bone Lab - Adiposité Médullaire et Os - ULR 4490 [MABLab]
Physiopathologie des Maladies Osseuses Inflammatoires (PMOI) - EA 4490
Devos, Patrick [Auteur]

Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Aboukais, Rabih [Auteur]
Gras, Louis [Auteur]
Assaker, Richard [Auteur]

Protéomique, Réponse Inflammatoire, Spectrométrie de Masse (PRISM) - U 1192 [PRISM]
Protéomique, Réponse Inflammatoire, Spectrométrie de Masse (PRISM) - U1192

Journal title :

Clinical neurology and neurosurgery

Abbreviated title :

Clin Neurol Neurosurg

Volume number :

128

Pages :

35-40

Publication date :

2015-01-01

ISSN :

1872-6968

English keyword(s) :

Fracture
Spine metastasis
Spinal cord compression
Multidisciplinary meeting

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

BACKGROUND: Spinal cord compression and fracture are possible complications of spine metastasis and multiple myeloma. Prompt diagnosis and treatment of threatening lesions are likely to reduce the frequency of these dreaded ...
Show more >BACKGROUND: Spinal cord compression and fracture are possible complications of spine metastasis and multiple myeloma. Prompt diagnosis and treatment of threatening lesions are likely to reduce the frequency of these dreaded complications. OBJECTIVE: To evaluate the proportion of neoplastic spine lesions operated on emergency. METHODS: Retrospective study. METHODS: All patients who underwent palliative surgery for the treatment of a neoplastic spine lesion in our institution between 2005 and 2012. METHODS: Percentage of patients who underwent surgery as an emergency for acute fracture or rapid neurological decline. METHODS: We retrospectively reviewed the data of all patients who underwent palliative surgery for the treatment of a neoplastic spine lesion from solid cancer or multiple myeloma, in our institution between January 2005 and December 2012. The study was supported by grant from our institution. RESULTS: A total of 317 patients were included in the study. There were 166 men and 151 women and the mean age was 57.97 years (range 26-88; SD 12.45). The cancer was known for 224 patients, while the lesion revealed the disease for the other 93 patients. The percentage of patients with known cancer operated as an emergency in our institution decreased significantly between 2005 and 2012 (p = 0.0006). CONCLUSIONS: Due to the variability of clinical and radiological presentations, best care requires a truly multidisciplinary approach, to offer each patient a prompt and individualized treatment option, which is likely to reduce the incidence of emergency surgeries.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

CHU Lille
INSERM
Univ. Littoral Côte d’Opale
Université de Lille

Collections :

METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Submission date :

2019-12-09T16:56:11Z
2020-01-17T15:00:59Z

Version	Link	Modification date
2	20.500.12210/17097*	2020-01-17T15:00:02Z
1	20.500.12210/17097.1	2019-12-09T16:56:11Z

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