Our Summary

This research study looks at factors that can predict the success of surgery to treat cancer that has spread to the spine (spinal metastases). Researchers reviewed medical records of 94 patients (26 women, 68 men; average age 64) who had surgery at their hospital to treat spinal metastases. They looked at a range of data, including the type of cancer, the stage of the disease, the extent of the cancer’s spread in the spine, the type of surgery performed, and the patients’ physical condition before and after surgery.

The results showed that surgery (which included removing or reducing the size of the tumors) significantly improved pain and physical function in these patients. However, the study also identified that male patients, those with multiple metastases, and those with pre-existing bowel and bladder dysfunction had worse outcomes.

In simple terms, the study suggests that while surgery can help reduce pain and improve physical function in patients with spinal metastases, outcomes can vary. Male patients, those with multiple metastases and those with pre-existing bowel and bladder problems may not fare as well.

FAQs

  1. What does the research study suggest about the success of surgery for spinal metastases?
  2. Which patients were identified to have worse outcomes after surgery for spinal metastases?
  3. Does the study indicate that surgery improves pain and physical function in patients with spinal metastases?

Doctor’s Tip

To optimize the success of spinal decompression surgery, it is important for patients to maintain good overall health before and after the procedure. This includes staying active, eating a healthy diet, and following any post-operative instructions given by your healthcare provider. Additionally, it may be helpful to work with a physical therapist to strengthen the muscles supporting the spine and improve flexibility. Remember to communicate openly with your healthcare team about any concerns or changes in your symptoms to ensure the best possible outcome.

Suitable For

Patients who are typically recommended spinal decompression are those who are experiencing chronic back pain, sciatica, herniated discs, degenerative disc disease, spinal stenosis, or other spinal conditions that are causing nerve compression or inflammation. These patients may have tried other conservative treatments such as physical therapy, medication, or epidural injections without success. Additionally, patients who have not had success with previous spinal surgeries may also be candidates for spinal decompression.

Timeline

Before spinal decompression:

  1. Patient may experience chronic back pain, numbness, tingling, or weakness in the arms or legs.
  2. Patient undergoes diagnostic tests such as MRI or X-rays to identify the cause of their symptoms.
  3. Patient consults with a spine specialist to discuss treatment options, including spinal decompression.

After spinal decompression:

  1. Patient undergoes spinal decompression surgery to relieve pressure on the nerves in the spine.
  2. Patient may experience some pain and discomfort following surgery, which is managed with medication.
  3. Patient undergoes physical therapy to help strengthen the muscles supporting the spine and improve flexibility.
  4. Patient gradually resumes normal activities and experiences relief from their previous symptoms, such as reduced pain and improved mobility.

What to Ask Your Doctor

Some questions a patient should ask their doctor about spinal decompression for spinal metastases include:

  1. What are the potential risks and complications associated with spinal decompression surgery for spinal metastases?
  2. How will spinal decompression surgery improve my pain and physical function?
  3. What factors can affect the success of spinal decompression surgery for spinal metastases?
  4. Are there alternative treatments or therapies available for spinal metastases that I should consider?
  5. How long is the recovery process after spinal decompression surgery for spinal metastases?
  6. What can I expect in terms of pain management after the surgery?
  7. Will I need physical therapy or rehabilitation after spinal decompression surgery for spinal metastases?
  8. How often will I need follow-up appointments to monitor my progress after the surgery?
  9. Are there any lifestyle changes or precautions I should take after spinal decompression surgery for spinal metastases?
  10. What is the expected long-term outcome for patients who undergo spinal decompression surgery for spinal metastases?

Reference

Authors: Hohenberger C, Schmidt C, Höhne J, Brawanski A, Zeman F, Schebesch KM. Journal: J Clin Neurosci. 2018 Jun;52:74-79. doi: 10.1016/j.jocn.2018.03.031. Epub 2018 Apr 2. PMID: 29622504