Year: 2023 | Month: December | Volume: 10 | Issue: 12 | Pages: 132-144
DOI: https://doi.org/10.52403/ijrr.20231201
Neurological Outcomes of Decompression Stabilization and Fusion Surgery for Spinal Metastases at Prof. Dr. IGNG Ngoerah General Hospital: A Retrospective Case Series
I Ketut Suyasa1, I Gusti Lanang Ngurah Agung Artha Wiguna1, Ida Bagus Gede Arimbawa1, Anak Agung Ngurah Krisna Dwipayana2
1Spine Surgeon Consultant of Orthopaedic and Traumatology Department, Faculty of Medicine Udayana University, Prof.Dr. IGNG Ngoerah General Hospital
2Resident of Orthopaedic and Traumatology Department, Faculty of Medicine Udayana University, Prof.Dr. IGNG Ngoerah General Hospital
Corresponding Author: Anak Agung Ngurah Krisna Dwipayana
ABSTRACT
Background: Patients with metastatic spinal cord compression (MSCC) frequently experience not only pain but also neurological deficits and decreased functional autonomy. Paralysis due to spinal cord compression is the most feared of the complications associated with metastatic spine disease. Surgical decompression has been shown to improve neurological outcomes. This case series present patients with metastatic bone disease underwent surgical decompression.
Case Presentation: From total of 55 patients with MSCC. Among 55 patients, most were caused by lung cancer followed by mammary, ovary and another type of cancer at the least. We present 5 patients with neurological deficits on both lower extremities due to spinal compression. Most patients came with continuous progressive backpain overtime. Decompression, stabilization and fusion surgery was done on all the patients. The outcomes were satisfying on 5 presented cases with improvement on neurological deficits and patient’s quality of life at 3 months follow-up. Patients continue cancer’s regiment therapy following their clinical outpatient control.
Conclusion: Patients with MSCC frequently experience not only pain but also neurological deficits and decreased functional autonomy. Paralysis due to spinal cord compression is the most feared of the complications associated with metastatic spine disease. Surgical decompression can improve the patient’s condition by improving their neurological outcomes.
Keywords: metastatic bone disease; metastatic spinal cord compression; decompression, stabilization, fusion.
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