Rompe J D, Eysel P, Hopf C, Heine J
Department of Orthopaedic Surgery, Mainz University Medical School, Federal Republic of Germany.
Acta Neurochir (Wien). 1993;123(3-4):135-40. doi: 10.1007/BF01401869.
Fourty-three cases with metastatic spinal cord compression were reviewed post-operatively to clarify the usefulness of the procedures concerning restoration of neurological function, and pain relief. Only patients with pathological spinal instability and neurological sequelae were included. Posterior decompression and stabilization was performed in all but six patients. All but four patients (91%) reported decrease of pain symptoms. Amelioration of neurological function was achieved in 58%. Re-establishment of walking ability was obtained in 57%. Post-surgery life expectancy averaged 11 months. In patients with widespread metastatic disease and/or multi-level instability of the spine restriction to palliative dorsal procedures is sensible. Post-operative ancillary treatment is necessary.
对43例转移性脊髓压迫症患者术后进行了回顾，以阐明恢复神经功能和缓解疼痛相关手术的有效性。仅纳入有病理脊柱不稳定和神经后遗症的患者。除6例患者外，所有患者均接受了后路减压和稳定手术。除4例患者外（91%），所有患者均报告疼痛症状减轻。58%的患者神经功能得到改善。57%的患者恢复了行走能力。术后平均预期寿命为11个月。对于有广泛转移性疾病和/或脊柱多节段不稳定的患者，采用姑息性背部手术是明智的。术后辅助治疗是必要的。
