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COMPLICATIONS OF SURGICAL TREATMENT OF SPINAL METASTASES

COMPLICAÇÕES DO TRATAMENTO CIRÚRGICO DAS METÁSTASES VERTEBRAIS

COMPLICACIONES DEL TRATAMIENTO QUIRÚRGICO DE LAS METÁSTASIS VERTEBRALES

ABSTRACT

Objectives:

To evaluate the complications of surgical treatment in a group of patients with spinal metastasis with epidural compression, undergoing surgical treatment.

Methods:

This is a comparative retrospective study (level of evidence III), which evaluated 96 patients with spinal metastases undergoing surgical treatment. Intra- and postoperative complications were obtained from the patients’ medical records and correlated with the following clinical characteristics: tumor type, tumor location, neurological deficit, age, number of affected vertebrae, Tokuhashi scale, Tomita scale, Karnofsky performance scale, and type of approach.

Results:

Complications of surgical treatment were observed in 29 (30.20%) patients. Surgical wound infection was the most frequent complication, observed in 15% of patients.

Conclusions:

Surgical treatment of spinal metastases presents complications in about 30% of patients and their occurrence should be considered in the treatment planning, weighing the risks and benefits for achieving the treatment goals. Level III evidence; Retrospective Study.

Keywords:
Spinal Neoplasms; Life Expectancy; Evaluation of Results

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