The analysis for multiple spinal neoplasm by two operation methods / 中国基层医药

ABSTRACT

Objective To disscuas the effect and complication of spinal operation combined with vertebroplasty in treating formultiple spinal neoplasm. Methods During the last two years, 18 patients with multiple spinal neoplasm including metastases, multiple myeloma andlymphoma were treated by operation combined with vertebroplasty, 2 vertebral body segments were involved in 5 cases, 3 to 4 vertebralbody segments were involved in 9 cases, more than 5 segments were involved in other 4 cases. Neurological function deficit and severe pain were seen in all the cases. Patients were evaluated byTomita prognostic scoring system before the operation; The average point was 7.2 (from 3 to 9 points). Results The pain relief ratewas 83.3%(15/18), and neurological recovery was found in 9 out of 12 patients who had neurological deficit. According to the system of frankel and neurological function, 1 patient recovered from grade B to grade C after the operation, and there was no change in another patients who was evaluated as grade A before the operation. The main complication of vertebroplasty was leakage of PMMA. Six patients had leakage of PMMA into adjacent structures in this series. Conclusion Better results of pain relief and neurological function recovery and living quality can be achieved by surgical palliation of operation combined with vertebroplasty formultiple spinal neoplasm.