Neurospine.
2023 Jun;20(2):608-619. 10.14245/ns.2346274.137.
The Role and Clinical Outcomes of Endoscopic Spine Surgery of Treating Spinal Metastases; Outcomes of 29 Cases From 8 Countries
- Suvithayasiri S
1,2 - Kim YJ1
- Liu Y1
- Trathitephun W2
- Asawasaksaku A3
- Quillo-Olvera J4
- Kotheeranurak V5,6
- Chagas H7
- Valencia CC8
- Serra MV9
- Isseldyk FV10
- Lee LH11
- Chen CM12
- Lokhande P13
- Park SM14
- Jitpakdee K1,15
- Patel KK1
- Kim JH1
- Mahatthanatrakul A16
- Luksanapruksa P17
- Wilartratsami S17
- Kim JS1
- Affiliations
-
- 1Department of Neurosurgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
- 2Department of Orthopedics, Chulabhorn Hospital, Chulabhorn Royal Academy, Bangkok, Thailand
- 3Spine Clinic, Department of Orthopedics, Ramkhamhaeng Hospital, Bangkok, Thailand
- 4The Brain and Spine Care, Minimally Invasive Spine Surgery Group, Hospital H+, Queretaro City, Mexico
- 5Department of Orthopaedics, Faculty of Medicine Chulalongkorn University, and King Chulalongkorn Memorial Hospital, Bangkok, Thailand
- 6Center of Excellence in Biomechanics and Innovative Spine Surgery, Chulalongkorn University, Bangkok, Thailand
- 7Department of Neurosurgery, Hospital Federal da Lagoa, Rio de Janeiro, Brazil
- 8Department of Orthopedic and Traumatology, University of La Frontera, Temuco, Chile
- 9Santista Institute of Neurosurgery and Spine, Santos – SP, Brazil
- 10Hospital Privado de Rosario, Rosario, Santa Fe, Argentina
- 11Department of Orthopedics, Taoyuan Armed Forces General Hospital, Taoyuan, Taiwan
- 12Division of Neurosurgery, Department of Surgery, Changhua Christian Hospital, Changhua, Taiwan
- 13Department of Orthopaedics, Smt. Kashibai Navale Medical College and General Hospital, Pune, India
- 14Spine Center, Department of Orthopedic Surgery, Seoul National University College of Medicine, Seoul ational University Bundang Hospital, Seongnam, Korea
- 15Department of Orthopedics, Queen Savang Vadhana Memorial Hospital, Chonburi, Thailand
- 16Department of Orthopedics, Naresuan University Hospital, Phitsanulok, Thailand
- 17Division of Spine Surgery, Department of Orthopaedics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
- KMID: 2543561
- DOI: http://doi.org/10.14245/ns.2346274.137
Abstract
Objective
We aim to report the outcomes and feasibility of endoscopic spine surgery used to treat symptomatic spinal metastases patients. This is the most extensive series of spinal metastases patients who underwent endoscopic spine surgery.
Methods
A worldwide collaborative network group of endoscopic spine surgeons, named ‘ESSSORG,’ was established. Patients diagnosed with spinal metastases who underwent endoscopic spine surgery from 2012 to 2022 were retrospectively reviewed. All related patient data and clinical outcomes were gathered and analyzed before the surgery and the followtime period of 2 weeks, 1 month, 3 months, and 6 months.
Results
A total of 29 patients from South Korea, Thailand, Taiwan, Mexico, Brazil, Argentina, Chile, and India, were included. The mean age was 59.59 years, and 11 of them were female. The total number of decompressed levels was 40. The technique was relatively equal (15 uniportal; 14 biportal). The average length of admission was 4.41 days. Of all patients with an American Spinal Injury Association Impairment Scale of D or lower before surgery, 62.06% reported having at least one recovery grade after the surgery. Almost all clinical outcomes parameters statistically significantly improved and maintained from 2 weeks to 6 months after the surgery. Few surgical-related complications (4 cases) were reported.
Conclusion
Endoscopic spine surgery is a valid option for treating spinal metastases patients as it could yield comparable results to other minimally invasive spine surgery techniques. As the aim is to improve the quality of life, this procedure is valuable and holds value in palliative oncologic spine surgery.
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