Published date: Jul 19 2022

Journal Title: Journal of Spine Practice

Issue title: Journal of Spine Practice (JSP): Volume 1, Issue 2

Pages: 54-61

DOI: 10.18502/jsp.v1i2.9902

Sami Aleissasaleissa@yahoo.comDepartment of Orthopedic Surgery, National Guard-Health Affairs, Riyadh, Saudi Arabia

Faisal Konbazfaisal.konbaz@gmail.comDepartment of Orthopedic Surgery, National Guard-Health Affairs, Riyadh, Saudi Arabia

Firas AlsebayelFiras@alsebayel.comDepartment of Orthopedic Surgery, National Guard-Health Affairs, Riyadh, Saudi Arabia

Abdullah Eissaaeissa@windowslive.comDepartment of Orthopedic Surgery, National Guard-Health Affairs, Riyadh, Saudi Arabia

Nawaf AlogayyelAlogayyelna@gmail.comDepartment of Orthopedic Surgery, National Guard-Health Affairs, Riyadh, Saudi Arabia

Ali Alhandiali.alhandi@gmail.comDepartment of Orthopedic Surgery, National Guard-Health Affairs, Riyadh, Saudi Arabia

Muath Almajedalmajed8muath@gmail.comCollege of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia

Anouar Bourghlianouar.bourghli@gmail.comDepartment of Orthopedic Surgery, Kingdom Hospital, Riyadh, Saudi Arabia

Fahad Alhelalfahad910@hotmail.com Department of Orthopedic Surgery, National Guard-Health Affairs, Riyadh, Saudi Arabia

Majed Abaalkhailmajed-s.a@hotmail.comDepartment of Orthopedic Surgery, National Guard-Health Affairs, Riyadh, Saudi Arabia

Background: Metastasis is one of the most frequent causes of cancer-related deaths globally. Several studies have investigated the surgical outcome of a metastatic spine; however, the results are discordant. This research aims to study the mortality and morbidity rates of surgical intervention for metastatic spine disease and the predictors of postoperative complications in a tertiary care center.

Materials and Methods: A retrospective chart review was conducted. The population consisted of patients who underwent surgical intervention for metastatic spine disease in a tertiary-care hospital from 2016 to 2020. The primary outcomes were intraoperative and postoperative complications, 30- day mortality, 90-day mortality, and the 1-year survival rates.

Results: A total of 47 patients underwent a surgical intervention during the period. Breast cancer was the most frequent primary lesion for the metastasis, followed by multiple myeloma and lung cancer. Postoperative surgical complications occurred in 34% of the sample, and 41% reported marked neurological improvement following surgery. The 30-day and 90-day mortality rates were 2% and 12%, respectively. The overall one-year survival rate was 64%.

Conclusion: The current study indicated that despite the risk and complexity of the surgical intervention to the metastatic spine, the surgery resulted in an acceptable rate of morbidity and mortality.

Keywords: Spine metastasis, Spine surgery, Outcome, Mortality and morbidity, Metastasis, Saudi Arabia

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