Suvithayasiri Siravich, Kim Young-Jin, Liu Yanting, Trathitephun Warayos, Asawasaksaku Akarawit, Quillo-Olvera Javier, Kotheeranurak Vit, Chagas Haroldo, Valencia Cristian Correa, Serra Marcus Vinicius, Isseldyk Facundo Van, Lee Lung-Hsing, Chen Chien-Min, Lokhande Pramod, Park Sang-Min, Jitpakdee Khanathip, Patel Kandarpkumar K, Kim Jung-Hoon, Mahatthanatrakul Akaworn, Luksanapruksa Panya, Wilartratsami Sirichai, Kim Jin-Sung
Department of Neurosurgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Department of Orthopedics, Chulabhorn Hospital, Chulabhorn Royal Academy, Bangkok, Thailand.
Neurospine. 2023 Jun;20(2):608-619. doi: 10.14245/ns.2346274.137. Epub 2023 Jun 30.
We aim to report the outcomes and feasibility of endoscopic spine surgery used to treat symptomatic spinal metastases patients. This is the most extensive series of spinal metastases patients who underwent endoscopic spine surgery.
A worldwide collaborative network group of endoscopic spine surgeons, named 'ESSSORG,' was established. Patients diagnosed with spinal metastases who underwent endoscopic spine surgery from 2012 to 2022 were retrospectively reviewed. All related patient data and clinical outcomes were gathered and analyzed before the surgery and the followtime period of 2 weeks, 1 month, 3 months, and 6 months.
A total of 29 patients from South Korea, Thailand, Taiwan, Mexico, Brazil, Argentina, Chile, and India, were included. The mean age was 59.59 years, and 11 of them were female. The total number of decompressed levels was 40. The technique was relatively equal (15 uniportal; 14 biportal). The average length of admission was 4.41 days. Of all patients with an American Spinal Injury Association Impairment Scale of D or lower before surgery, 62.06% reported having at least one recovery grade after the surgery. Almost all clinical outcomes parameters statistically significantly improved and maintained from 2 weeks to 6 months after the surgery. Few surgical-related complications (4 cases) were reported.
Endoscopic spine surgery is a valid option for treating spinal metastases patients as it could yield comparable results to other minimally invasive spine surgery techniques. As the aim is to improve the quality of life, this procedure is valuable and holds value in palliative oncologic spine surgery.
我们旨在报告用于治疗有症状的脊柱转移瘤患者的内镜脊柱手术的结果和可行性。这是接受内镜脊柱手术的脊柱转移瘤患者中规模最大的系列研究。
成立了一个名为“ESSSORG”的全球内镜脊柱外科医生协作网络小组。对2012年至2022年接受内镜脊柱手术的脊柱转移瘤患者进行回顾性研究。收集并分析所有相关患者数据及临床结果，时间点为术前、术后2周、1个月、3个月和6个月。
共纳入来自韩国、泰国、台湾、墨西哥、巴西、阿根廷、智利和印度的29例患者。平均年龄为59.59岁，其中11例为女性。减压节段总数为40个。手术技术相对均衡（单通道15例；双通道14例）。平均住院时间为4.41天。术前美国脊髓损伤协会损伤分级为D级或更低的所有患者中，62.06%报告术后至少有一个恢复等级。几乎所有临床结果参数在术后2周 至6个月均有统计学意义上的显著改善并得以维持。报告的手术相关并发症较少（4例）。
内镜脊柱手术是治疗脊柱转移瘤患者的一种有效选择，因为其结果与其他微创脊柱手术技术相当。由于目标是提高生活质量，该手术在姑息性肿瘤脊柱手术中具有重要价值。
