Abstract

The surgical approach of spinal metastases treatment is becoming more common and it requieres a certain optimal surgical critical care that at minimum surgical trauma it will increase the life quality and prolong the patients lifetime. The prospective analysis of clinical and lab data of the patient cases was carried out. The cases were reviewed from October of 2016 to August of 2018 to evaluate the life quality of the patients after their surgery for metastatic spine lesions at the Department of Neurosurgery GBUZ SO SOOD Hospital. Evaluated parameters: performance status, Karnofsky performance score, SF-36 and EQ-5D health questionnaires, Tomita, Tokuhashi, Frankel scores, VAS, SINS score. All the cases after the surgery that had a histological confirmation of metastatic spine lesions except myeloma cases were reviewed. The life quality was evaluated and the Visual Analog scale of the patients was calculated at the pre-operative stage and the post-operative stage after 3, 6 and 12 months. We found positive changes in the pain syndrome, life quality and level of functional activity in post-operative stage. This evidences the viability of the combined modality treatment of the patients with metastatic spine lesions.

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