Tokuhashi Y, Matsuzaki H, Toriyama S, Kawano H, Ohsaka S
Department of Orthopaedic Surgery, Nihon University, School of Medicine, Tokyo.
Spine (Phila Pa 1976). 1990 Nov;15(11):1110-3. doi: 10.1097/00007632-199011010-00005.
An assessment system for the prognosis of metastatic spine tumors was evaluated for 64 cases who had undergone surgery. Six parameters were employed in the assessment system: 1) the general condition, 2) the number of extraspinal bone metastases, 3) the number of metastases in the vertebral body, 4) metastases to the major internal organs (lungs, liver, kidneys, and brain), 5) the primary site of the cancer, and 6) the severity of spinal cord palsy. Each parameter ranged from 0 to 2 points. The total score obtained for each patient can be correlated with the prognosis, while being valuable in predicting it. However, the prognosis could not be predicted from a single parameter. In conclusion, an excisional operation should be performed on those cases who scored above 9 points, while a palliative operation is indicated for those who scored under 5 points.
对一个用于评估转移性脊柱肿瘤预后的系统进行了评估，该系统应用于64例接受手术的患者。评估系统采用了六个参数：1）一般状况；2）脊柱外骨转移灶数量；3）椎体转移灶数量；4）主要内脏器官（肺、肝、肾和脑）转移情况；5）癌症原发部位；6）脊髓麻痹严重程度。每个参数的评分范围为0至2分。每位患者的总分可与预后相关联，对预测预后有价值。然而，无法根据单一参数预测预后。总之，对于评分高于9分的病例应进行切除手术，而对于评分低于5分的病例则建议进行姑息手术。
