Prognosticating outcomes and survival for patients with lumbar spinal metastases: Results of a bayesian regression analysis

Schoenfeld, Andrew J.; Ferrone, Marco; Schwab, Joseph H.; Blucher, Justin A.; Barton, Lauren B.; Harris, Mitchel B.; Kang, James D.

doi:10.1016/j.clineuro.2019.04.009

Cited by 2 publications

(9 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Lumbar vertebrae are significantly larger and must bear greater load. 2 , 9 Additionally, lumbar nerve roots innervate musculature vital for ambulation and cannot be sacrificed to increase accessibility. 2 , 9 , 10 …”

Section: Discussionmentioning

confidence: 99%

“… 2 , 9 Additionally, lumbar nerve roots innervate musculature vital for ambulation and cannot be sacrificed to increase accessibility. 2 , 9 , 10 …”

Section: Discussionmentioning

confidence: 99%

“… 9 , 17 Of note, surgery is associated with increased complications and readmissions. 2 Due to surgical risks, a postoperative prognosis of at least 6 months is often a benchmark for surgery. However, arguments can be made for surgery for shorter prognoses.…”

Section: Discussionmentioning

confidence: 99%

“…Spinal metastases are seen in 20%–40% of patients with cancer, with 20%–45% of cases involving the lumbar spine. 1 , 2 Prognosis is variable, depending on the tumor histology, systemic disease status, and comorbidities. 2–4 The operative approach depends on patient comorbidities, tumor location, and the goals of surgery.…”

mentioning

confidence: 99%

“… 1 , 2 Prognosis is variable, depending on the tumor histology, systemic disease status, and comorbidities. 2–4 The operative approach depends on patient comorbidities, tumor location, and the goals of surgery. We describe a patient with a lumbar spine metastasis from cholangiocarcinoma and significant comorbidities who underwent a 2-level vertebrectomy with expandable cage placement and T10 to S2 fusion via a posterior-only approach.…”

mentioning

confidence: 99%

See 4 more Smart Citations

Posterior-only 2-level vertebrectomy and fusion in a medically complex patient with lumbar metastasis: illustrative case

Johnson,

Shaffer,

Tang

et al. 2024

Journal of Neurosurgery: Case Lessons

View full text Add to dashboard Cite

BACKGROUND Spinal metastases are commonly seen in patients with cancer and often indicate a poor prognosis. Treatment can include curative or palliative surgery, chemotherapy, and radiation therapy. The surgical approach varies widely on the basis of the affected region of the spine, the location of the tumor (anterior versus posterior), the goal of surgery, the health of the patient, and surgeon preference. OBSERVATIONS The authors present a case of a 68-year-old male with intractable lower-back pain and substantially diminished ambulation. Diagnostic imaging revealed a lumbar metastasis from a cholangiocarcinoma primary at L2–3 (4.5 cm anteroposterior × 5.7 cm transverse × 7.0 cm craniocaudal). The patient underwent a 2-level vertebrectomy with expandable cage placement and T10 to S2 fusion via a posterior-only approach. The patient regained much of his mobility and quality of life after the surgery. LESSONS Although this was a high-risk surgery, the authors show that a posterior-only approach can be used for lumbar vertebrectomies and fusion when necessary. Palliative surgeries carrying a high risk, especially in the setting of a limited prognosis, should include multidisciplinary deliberations and a thorough discussion of the risks and outcome expectations with the patient.

show abstract

Section: Discussionmentioning

confidence: 99%

“… 2 , 9 Additionally, lumbar nerve roots innervate musculature vital for ambulation and cannot be sacrificed to increase accessibility. 2 , 9 , 10 …”

Section: Discussionmentioning

confidence: 99%