Radiotherapy or surgery for spine metastases?
DOI:
https://doi.org/10.3109/17453674.2011.566142Abstract
Background and purpose Radiotherapy (RT) remains the cornerstone of management of spine metastases (SM), even though surgery is a well-established treatment for selected patients. We compared the use of RT and surgery in a population-based cohort of patients with SM, investigated pre-treatment factors that were associated with use of these treatment modalities, and examined survival.Patients and methods 903 patients in the south-eastern Norway who were admitted for RT or surgery for SM for the first time during an 18-month period in 2007–2008 were identified and their medical records were reviewed.Results The primary treatment was surgery in 58 patients and RT in 845 patients, including 704 multiple-fraction (MF) and 141 single-fraction (SF) RT schedules. 11 of 607 patients without motor impairment (2%) and 47 of 274 patients with motor impairment (17%) underwent primary operations. 11 of 58 operated patients and 244 of 845 irradiated patients died within 2 months after the start of treatment. 26% of those who received multiple-fraction RT or surgery died within 2 months.Interpretation Motor impairment was the main indication for surgery. Better identification of patients with short survival is needed to avoid time-consuming treatment (major surgery and long-term RT).Downloads
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Published
2011-06-01
How to Cite
Zaikova, O., Fosså, S. D., Bruland, Øyvind S., Giercksky, K.-E., Sandstad, B., & Skjeldal, S. (2011). Radiotherapy or surgery for spine metastases?. Acta Orthopaedica, 82(3), 365–371. https://doi.org/10.3109/17453674.2011.566142
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LicenseActa Orthopaedica (Scandinavica) content is available freely online as from volume 1, 1930. The journal owner owns the copyright for all material published until volume 80, 2009. As of June 2009, the journal has however been published fully Open Access, meaning the authors retain copyright to their work. As of June 2009, articles have been published under CC-BY-NC or CC-BY licenses, unless otherwise specified.