Surgical outcome in patients with spinal metastases in the period 1993-2002

Background. Authors introduced ways and results of treatment operating patients with spinal metastases, treated in Orthopaedic Clinic of Central Military Hospital in years 1993-2002.
Material and methods. In introduced period in Clinic 54 patients was treated with spinal metastases. 37(68,6%) was treated surgical and 17(31,4%) conservatively. In Clinic following indications were established to operating treatments: pathological fracture of vertebrae, growing neurological symptoms, as well as uncompromising pain in conservative treatment. Advancement of neoplasmatic disease and very bad prognosis was most important contraindication to operating treatment. Following operating method treatments: posterior stabilization by Harrington method and stabilization by transpedicular screws. Percutaneous vertebroplasty was applied.
Results. In Frankel scale following results were noted down: in front of operation E-5, D-23, C-7, B-2, A-0, after operation E-8, D-24, C-5, B-0, A-0.
Conclusions. Authors affirm, that operation treatment in choose cases is only effective way of supply patients with spinal metastases.