Here are six key trends:
1. Improvements in treatment and longer patient survival times have increased the incidences of symptomatic spinal metastasis over the years. Additionally, more patients are choosing operative treatment that is associated with increased perioperative complication rates.
2. The complication rates associated with overall operative metastatic disease reported an increase ranging from 5.3 percent to 76.2 percent.
3. The common surgical-related complications include iatrogenic dural injury and wound complications; the most common postoperative medical complications are:
• Delirium
• Pneumonia
• Deep vein thrombosis
4. Patients who are older, undergoing multilevel procedures, have preoperative irradiation, lower preoperative Karnofsky Performance Scores and patients with multiple comorbidities are more likely to have perioperative complications.
5. The spinal metastasis surgery reoperation rate is 10.7 percent and the second surgery is often performed in the same admission as the primary procedure.
6. Thirty-day mortality rates for spinal metastasis patients is around 7 percent and the factors associated with 30-day mortality include the type of cancer, disease burden and patient comorbidities.
More articles on spine surgery:
Weill Cornell’s spine care center leverages multidisciplinary approach
Which industry regulations would spine surgeons most like to overturn?
These 3 comorbidities boost hospital resource use in pediatric spinal fusion
At the Becker's 23rd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference, taking place June 11-13 in Chicago, spine surgeons, orthopedic leaders and ASC executives will come together to explore minimally invasive techniques, ASC growth strategies and innovations shaping the future of outpatient spine care. Apply for complimentary registration now.
