Please use this identifier to cite or link to this item: http://hdl.handle.net/11455/71331
DC FieldValueLanguage
dc.contributor.authorChen, Y.J.en_US
dc.contributor.authorChang, G.C.en_US
dc.contributor.authorChen, H.T.en_US
dc.contributor.authorYang, T.Y.en_US
dc.contributor.authorKuo, B.I.T.en_US
dc.contributor.authorHsu, H.C.en_US
dc.contributor.authorYang, H.W.en_US
dc.contributor.authorLee, T.S.en_US
dc.date2007zh_TW
dc.date.accessioned2014-06-11T06:01:13Z-
dc.date.available2014-06-11T06:01:13Z-
dc.identifier.issn0362-2436zh_TW
dc.identifier.urihttp://hdl.handle.net/11455/71331-
dc.description.abstractStudy Design. The results for 37 surgical interventions in 31 consecutive patients with non-small cell lung cancer (NSCLC) with symptomatic spinal cord compression were reviewed retrospectively. Objectives. To evaluate postoperative outcomes and survival rates of NSCLC patients surgically treated for symptomatic spinal metastasis. Summary of Background Data. For patients with spinal cord compression secondary to lung cancer, the prognosis is usually poor. However, with the development of new chemotherapeutic drugs and targeted therapeutic agents, the survival rate may be better. Methods. From November 2000 to March 2005, 31 patients with symptomatic metastatic spinal cord compression secondary to NSCLC underwent palliative surgery using a posterolateral transpedicular approach (PTA) or combined posterior and anterior procedures. The indication for surgery was neurologic progression due to spinal cord compression. Results. The patients ranged in age from 20 to 81 years (mean, 61.4 years). Twenty-eight patients (90%) underwent PTA, and 3 patients had combined posterior and anterior procedures. Neurologic improvement by at least one Frankel grade was noted in 25 of 31 cases (80%). Overall, 74% of patients (23 of 31) were able to walk after surgery. There was no case of intraoperative mortality, but two deaths occurred in the postoperative period. Median survival time was 8.8 months. Conclusions. Even though lung cancer is considered an aggressive tumor, it is justifiable to aggressively treat patients with symptomatic spinal cord compression. Surgery by PTA can lead to good results in these patients.en_US
dc.language.isoen_USzh_TW
dc.relationSpineen_US
dc.relation.ispartofseriesSpine, Volume 32, Issue 15, Page(s) E413-E418.en_US
dc.relation.urihttp://dx.doi.org/10.1097/BRS.0b013e318074d6c7en_US
dc.subjectnon-small cell lung canceren_US
dc.subjectspinal metastasisen_US
dc.subjectposterolateralen_US
dc.subjecttranspedicular approachen_US
dc.subjectsurgeryen_US
dc.subjectsurvival rateen_US
dc.subjectquality-of-lifeen_US
dc.subjectprognostic-factorsen_US
dc.subjectmanagementen_US
dc.subjectsurvivalen_US
dc.subjectsymptomsen_US
dc.subjectsurgeryen_US
dc.subjectdiseaseen_US
dc.titleSurgical results of metastatic spinal cord compression secondary to non-small cell lung canceren_US
dc.typeJournal Articlezh_TW
dc.identifier.doi10.1097/BRS.0b013e318074d6c7zh_TW
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.openairetypeJournal Article-
item.cerifentitytypePublications-
item.fulltextno fulltext-
item.languageiso639-1en_US-
item.grantfulltextnone-
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