Minimal access surgery for spinal metastases: Prospective evaluation of a treatment algorithm using patient-reported outcomes Journal Article

   

Authors:	Barzilai, O.; McLaughlin, L.; Amato, M. K.; Reiner, A. S.; Ogilvie, S. Q.; Lis, E.; Yamada, Y.; Bilsky, M. H.; Laufer, I.
Article Title:	Minimal access surgery for spinal metastases: Prospective evaluation of a treatment algorithm using patient-reported outcomes
Abstract:	Background: Minimal access surgery (MAS) allows for an early return to systemic and radiation therapy in patients with cancer, leading to its increasing usage in the treatment of spinal metastases. Systematic examination of surgical indications resulted in the development of an algorithm for implementation of MAS in the treatment of spinal metastases. The objective of the present study was to evaluate a spine tumor MAS treatment algorithm using patient-reported outcomes for patients with cancer undergoing treatment of spinal metastases. Methods: We performed a prospective cohort study of patients who had undergone spinal percutaneous instrumented stabilization with the addition of MAS spinal cord or nerve root decompression and/or kyphoplasty when indicated at a tertiary cancer center from December 2013 to August 2016. Validated patient-reported outcome measures, including the Brief Pain Inventory and the MD Anderson Symptom Inventory–spine module, were used. The patient-reported outcome measures were collected and compared at baseline, 3 months, and long-term follow-up (range, 4.5–12 months). Results: A total of 51 patients were included. MAS resulted in a statistically significant decrease in the severity of pain and improved activity, ability to work, and enjoyment of life (P < 0.001). The improvement was reported at the short- and long-term follow-up points. Conclusions: We present our treatment algorithm for MAS implementation in the treatment of thoracolumbar spinal metastases. Prospectively collected data have demonstrated that using this algorithm, MAS surgery for the treatment of spinal metastases results in significant decreases in pain severity and symptom interference with daily activities. © 2018 Elsevier Inc.
Keywords:	spine; patient-reported outcomes; tumor; minimally invasive; mas
Journal Title:	World Neurosurgery
Volume:	120
ISSN:	1878-8750
Publisher:	Elsevier Inc.
Date Published:	2018-12-01
Start Page:	e889
End Page:	e901
Language:	English
DOI:	10.1016/j.wneu.2018.08.182
PUBMED:	30189298
PROVIDER:	scopus
PMCID:	PMC6786494
DOI/URL:	https://www.scopus.com/inward/record.uri?eid=2-s2.0-85054422894&doi=10.1016%2fj.wneu.2018.08.182&partnerID=40&md5=5961d7a68eb7d40dab45e099f2aeed38
Notes:	Article -- Export Date: 3 December 2018 -- Source: Scopus

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