Survival-Related Factors of Spinal Metastasis with XXXX in Current Surgical Treatment Modalities : A Single Institute Experience.

@entity1 @entity157 @entity2857 @entity3
OBJECTIVE: Recently, the survival of @entity1 with @entity157 ( @entity157 ) has been prolonged with improvements in various diagnostic tools and medical treatment modalities. Consequently, spine @entity3 from @entity157 are being diagnosed more frequently. The accurate prediction of prognosis plays a critical role in determining a @entity1 's treatment plan, including surgery for @entity1 with spinal @entity3 of @entity157 . We investigated the clinical features, surgical outcomes, and prognostic factors of @entity157 presenting with spine @entity3 , in @entity1 who underwent surgery. METHODS: A retrospective review was conducted on 33 @entity157 @entity1 who underwent 36 operations (three @entity1 underwent surgical treatment twice) from February 2006 to December 2013. The median age of the @entity1 was 56 years old (range, 28 to 71; male : female=30 : 3). RESULTS: Overall survival was not correlated with age, sex, level of @entity3 , preoperative @entity1 -Pugh classification, preoperative ambulatory function, preoperative radiotherapy, type of operation, administration of @entity2857 , or the Tokuhashi scoring system. Only the Tomita scoring system was shown to be an independent prognostic factor for overall survival. Comparing the @entity1 -Pugh classification and ambulatory ability, there were no statistically differences between @entity1 pre- and post-operatively. CONCLUSION: The Tomita scoring system represents a practicable and highly predictive prognostic tool. Even though surgical intervention may not restore ambulatory function, it should be considered to prevent deterioration of the @entity1 's overall condition. Additionally, aggressive management may be needed if there is any ambulatory ability remaining.
