METASTATIC SPINAL-CORD COMPRESSION - OPTIONS FOR SURGICAL-TREATMENT

Fourty-three cases with metastatic spinal cord compression were review ed post-operatively to clarify the usefulness of the procedures concer ning restoration of neurological function, and pain relief. Only patie nts with pathological spinal instability and neurological sequelae wer e included. Posterior decompression and stabilization was performed in all but six patients. All but four patients (91%) reported decrease o f pain symptoms. Amelioration of neurological function was achieved in 58%. Re-establishment of walking ability was obtained in 57%. Post-su rgery life expectancy averaged 11 months. In patients with widespread metastatic disease and/or multi-level instability of the spine restric tion to palliative dorsal procedures is sensible. Post-operative ancil lary treatment is necessary.