Open AccessExperience in the treatment of spinal tumors complicated by compression of the spinal cord and its roots
Author(s) -
Oleg I. Kit,
Д. Е. Закондырин,
А. А. Грин,
Eduard E. Rostorguev,
S. V. Yundin
Publication year - 2022
Publication title -
innovacionnaâ medicina kubani
Language(s) - English
Resource type - Journals
eISSN - 2541-9897
pISSN - 2500-0268
DOI - 10.35401/2500-0268-2022-25-1-5-11
Subject(s) - medicine , spinal cord compression , surgery , spinal cord , psychological intervention , nursing , psychiatry
Objective: Improvement of the results of treatment of vertebral tumors with neural compression by means of analyzing the authors’ experience. Material and methods: The study included 151 patients with primary and metastatic vertebral tumors, operated in the neurosurgical departments of three large medical institutions from 01.01.2014 to 31.12.2020. Results: Most of the patients underwent palliative interventions. Radical surgery (marginal or wide resection of the tumor) was performed in 8 (5%) patients. Surgical treatment as the only method of treatment was used in 75 (50%) cases, combined treatment was used in 42 (28%) people, complex treatment – in 34 (22%). The immediate results of treatment of 91% of patients were characterized by the absence of negative dynamics in the neurological status and in 50% of cases by positive dynamics in the functional state. Among patients with malignant tumors and a traced catamnesis, the one-year survival rate was 66%, three-year – 52%, five-year – 47%. The median overall survival rate was 12.8 months, the median event-free survival rate was 12.55 months. Conclusion: The use of non-radical interventions in the surgery of vertebral tumors with neural compression expands the possibilities of minimizing surgical trauma, while maintaining the neurological and improving the functional status of the patient.