Minimal Access vs. Open Spine Surgery in Patients With Metastatic Spinal Cord Compression: A One-Center Randomized Controlled Trial
Research output: Contribution to journal › Journal article › Research › peer-review
BACKGROUND/AIM: We conducted a randomized controlled trial to investigate whether minimally access spine surgery (MASS) is less morbid than open surgery (OS) in patients with metastatic spinal cord compression (MSCC).
PATIENTS AND METHODS: A total of 49 MSCC patients were included in the trial. The outcome measures were bleeding (L), operation time (min), re-operations and prolonged wound healing.
RESULTS: The median age was 67 years (range=42-85 years) and 40% were men. The peri-operative blood loss in the MASS-group was significantly lower than that in the OS-group; 0.175L vs. 0.500L, (p=0.002). The median operation time for MASS was 142 min (range=72-203 min) vs. 103 (range=59-435 min) for OS (p=0.001). There was no significant difference between the two groups concerning revision surgery or delayed wound healing.
CONCLUSION: The MASS technique in MSCC patients is associated with less blood loss, but a longer operation time when compared to the OS technique.
Original language | English |
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Journal | Anticancer Research |
Volume | 40 |
Issue number | 10 |
Pages (from-to) | 5673-5678 |
ISSN | 0250-7005 |
DOIs | |
Publication status | Published - 2020 |
Bibliographical note
Copyright© 2020, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.
- Adult, Aged, Aged, 80 and over, Blood Loss, Surgical/physiopathology, Female, Humans, Male, Middle Aged, Minimally Invasive Surgical Procedures/adverse effects, Operative Time, Outcome Assessment, Health Care, Reoperation/methods, Spinal Cord Compression/blood, Spinal Dysraphism/blood, Spinal Neoplasms/blood, Treatment Outcome
Research areas
ID: 262815356