Epidemiology and national trends in prevalence and surgical management of metastatic spinal disease

Publication date: July 2018 Source:Journal of Clinical Neuroscience, Volume 53 Author(s): Samantha R. Horn, Ekamjeet S. Dhillon, Gregory W. Poorman, Jared C. Tishelman, Frank A. Segreto, Cole A. Bortz, John Y. Moon, Omar Behery, Nicholas Shepard, Bassel G. Diebo, Shaleen Vira, Peter G. Passias Surgical treatment for spinal metastasis has benefited from improvements in surgical techniques. However, the trends in treatment and outcomes for spinal metastasis surgery have not been well-established in a pediatric population. Patients <20 years old with metastatic spinal tumors undergoing spinal surgery were identified in the KID database. Trends for spinal metastases treatment and patient outcomes were analyzed using weight-adjusted ANOVAs. 333 patients were identified in the KID database. The top five primary diagnoses were metastatic brain/spinal cord tumor (19.8%), metastatic nervous system tumor (15.9%), metastatic bone cancer (13.2%), spinal cord tumor (4.2%), and tumor of ventricles (3.0%). There was an increased incidence of spinal metastasis diagnoses from 2003 to 2012 (88.5–117.9 per 100,000; p < 0.001) and an increased trend in the incidence of surgical treatment for spinal metastasis from 2003 to 2012 (p = 0.014). The average age was 10.19 ± 6.33 years old and 38.4% were female. The average length of stay was 17.34 ± 24.36 days. Average CCI increased over time (2003: 7.87 ± 1.40, 2012: 8.44 ± 1.39; p = ...
Source: Journal of Clinical Neuroscience - Category: Neuroscience Source Type: research