With recent progress in cancer treatment, the number of advanced-age patients with spinal metastases has been increasing. It is important to clarify the influence of advanced age on outcomes following surgery for spinal metastases, especially with a focus on subjective health state values. We prospectively analyzed 101 patients with spinal metastases who underwent palliative surgery from 2013 to 2016. These patients were divided into two groups based on age (< 70 years and ≥ 70 years). The Eastern Cooperative Oncology Group (ECOG) performance status (PS), Barthel index (BI), and EuroQol-5 dimension (EQ-5D) score were assessed at study enrolment and at one, three, and six months after surgery. The survival times and complications were also collected.Aims
Methods
The main form of treatment of a chordoma of the
mobile spine is total We report two patients who underwent TES after CIRT for treating
a chordoma in the lumbar spine with good medium-term outcomes. At
operation, there remained histological evidence of viable tumour
cells in both cases. After the combination use of TES following
CIRT, neither patient showed signs of recurrence at the follow-up examination.
These two cases suggest that CIRT should be combined with total
spondylectomy in the treatment of chordoma of the mobile spine. Cite this article:
