Is there a relationship between spinal instability in neoplastic disease and Tokuhashi scoring system?

被引:3
作者
de Oliveira, Matheus Fernandes [1 ]
Rotta, Jose Marcus [1 ]
Botelho, Ricardo Vieira [1 ]
机构
[1] IAMSPE, Hosp Serv Publ Estadual Sao Paulo, Dept Neurosurg, Ave Loefgren 700,Apto 103, BR-04040000 Sao Paulo, Brazil
关键词
Cancer; Neoplasm metastasis; Prognosis; Spine; Surgical procedures; ONCOLOGY STUDY-GROUP; CORD COMPRESSION; PREOPERATIVE EVALUATION; VERTEBRAL METASTASES; SURGICAL-TREATMENT; PREDICTIVE-VALUE; TUMOR PROGNOSIS; MANAGEMENT; SURGERY; RADIOTHERAPY;
D O I
10.1007/s10143-016-0706-y
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Spinal instability neoplastic score (SINS) classification evaluates spinal stability by adding together six radiographic and clinical components. The objective of this study was to verify the association between SINS and Tokuhashi scoring system (TSS) score. Fifty-eight patients with vertebral metastases were admitted from 2010 to 2014 at Hospital do Servidor PA(0)blico Estadual de So Paulo. They were evaluated according to their SINS and Tokuhashi SS score. Fourteen patients (24.13 %) scored from 0 to 6 points (stable spine), 37 (63.79 %) scored from 7 to 12 (potentially unstable), and 7 (12.06 %) scored from 13 to 18 (unstable). In stable spine patients according to SINS, the mean TSS score was 9.2. In potentially unstable spine patients, the mean TSS score was 8.24. In unstable spine patients, mean TSS score was 6.28. There was a statistically significant difference of the TSS score between stable and unstable patients. After evaluating TSS score in each patient, the worse the SINS, the worse was also the TSS score.
引用
收藏
页码:519 / 524
页数:6
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