Management of neoplastic spinal tumors in ...
Type de document :
Article dans une revue scientifique: Article original
PMID :
URL permanente :
Titre :
Management of neoplastic spinal tumors in a spine surgery care unit
Auteur(s) :
Zairi, Fahed [Auteur]
Vieillard, Marie-Helene [Auteur]
Marrow Adiposity & Bone Lab - Adiposité Médullaire et Os - ULR 4490 [MABLab]
DEVOS, Patrick [Auteur]
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]
Vieillard, Marie-Helene [Auteur]
Marrow Adiposity & Bone Lab - Adiposité Médullaire et Os - ULR 4490 [MABLab]
DEVOS, Patrick [Auteur]
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]
Titre de la revue :
Clinical neurology and neurosurgery
Nom court de la revue :
Clin Neurol Neurosurg
Numéro :
128
Pagination :
35-40
Date de publication :
2015-01-01
ISSN :
1872-6968
Mot(s)-clé(s) en anglais :
Fracture
Spine metastasis
Spinal cord compression
Multidisciplinary meeting
Mesh:Middle Aged
Mesh:Palliative Care/statistics & numerical data*
Mesh:Retrospective Studies
Mesh:Spinal Neoplasms/epidemiology
Mesh:Spinal Neoplasms/secondary
Mesh:Humans
Mesh:Female
Mesh:Spinal Neoplasms/surgery*
Mesh:Adult
Mesh:Aged
Mesh:Aged
Mesh:80 and over
Mesh:Postoperative Complications/epidemiology*
Mesh:Male
Mesh:Orthopedic Procedures/statistics & numerical data*
Spine metastasis
Spinal cord compression
Multidisciplinary meeting
Mesh:Middle Aged
Mesh:Palliative Care/statistics & numerical data*
Mesh:Retrospective Studies
Mesh:Spinal Neoplasms/epidemiology
Mesh:Spinal Neoplasms/secondary
Mesh:Humans
Mesh:Female
Mesh:Spinal Neoplasms/surgery*
Mesh:Adult
Mesh:Aged
Mesh:Aged
Mesh:80 and over
Mesh:Postoperative Complications/epidemiology*
Mesh:Male
Mesh:Orthopedic Procedures/statistics & numerical data*
Discipline(s) HAL :
Sciences du Vivant [q-bio]
Résumé en anglais : [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 ...
Lire la suite >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.Lire moins >
Lire la suite >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.Lire moins >
Langue :
Anglais
Audience :
Internationale
Vulgarisation :
Non
Établissement(s) :
CHU Lille
INSERM
Univ. Littoral Côte d’Opale
Université de Lille
INSERM
Univ. Littoral Côte d’Opale
Université de Lille
Collections :
Date de dépôt :
2019-12-09T16:56:11Z