Spinal metastases with neurological manifestations

TLDR

Spinal metastases frequently cause neurological syndromes, and the authors review key statistical data on this condition. The study examined 600 cases by clinical features, primary tumor type, lesion site, and survival, and generally applied combined surgery and radiotherapy. In 600 spinal metastasis cases, tumor type, lesion site, and survival influenced treatment choices; emergency surgery was used to halt neurological progression, and short‑term outcomes varied with these factors.

Abstract

✓ The authors have studied 600 cases of spinal metastasis causing a neurological syndrome. The most significant statistical data are reviewed. The cases are examined according to clinical characteristics, type of primary tumor, site of lesion, and survival. Each of these factors influenced the choice and results of treatment. As a general rule, combined treatment (surgery and radiotherapy) was used. Preliminary surgery was performed as an emergency, designed to halt progression of the neurological syndrome and to prevent its more serious manifestations. The technique and usefulness of surgery are discussed for different situations and the short-term results of treatment are related to the various factors involved.