Copyright
©The Author(s) 2016.
World J Orthop. Feb 18, 2016; 7(2): 109-116
Published online Feb 18, 2016. doi: 10.5312/wjo.v7.i2.109
Published online Feb 18, 2016. doi: 10.5312/wjo.v7.i2.109
Table 1 Surgical strategy for spinal metastases
Point | Scoring system | Prognostic score | Treatment goal | Surgical strategy | ||
Prognostic factors | ||||||
Primary tumor | Visceral metastases | Bone metastases1 | ||||
1 | Slow growth (breast, thyroid, etc.) | Solitary or isolated | 2 | Long-term local control | Wide or marginal excision | |
3 | ||||||
2 | Moderate growth (kidney, uterus, etc.) | Treatable | Multiple | 4 | Middle-term local control | Marginal or intralesonal excision |
5 | ||||||
4 | Rapid growth (lung, stomach, etc.) | Untreatable | 6 | Short-term palliation | Palliative surgery | |
7 | ||||||
8 | Terminal care | Supportive care | ||||
9 | ||||||
10 |
- Citation: Ciftdemir M, Kaya M, Selcuk E, Yalniz E. Tumors of the spine. World J Orthop 2016; 7(2): 109-116
- URL: https://www.wjgnet.com/2218-5836/full/v7/i2/109.htm
- DOI: https://dx.doi.org/10.5312/wjo.v7.i2.109