Surgical treatment results of metastatic spine disease with using minimally invasive technologies, including 3D video endoscopic technologies

Lyulin S.V.

Ural State Medical University of the Ministry of Health of the Russian Federation

Ivliev D.S.

Federal Center of Traumatology, Orthopedics and Endoprosthetics of the Ministry of Health of the Russian Federation;
Smolensk State Medical University of the Ministry of Health of the Russian Federation

Balaev P.I.

Kurgan Regional Oncological Center

Borzunov D.Yu.

Ural State Medical University of the Ministry of Health of the Russian Federation

Ovsyankin A.V.

Miloserdov M.A.

Smolensk State Medical University of the Ministry of Health of the Russian Federation

Surgical treatment results of metastatic spine disease with using minimally invasive technologies, including 3D video endoscopic technologies

Authors:

Lyulin S.V., Ivliev D.S., Balaev P.I., Borzunov D.Yu., Ovsyankin A.V., Miloserdov M.A.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2021;85(4): 49‑57

DOI: 10.17116/neiro20218504149

Downloaded: 38

To cite this article:

Lyulin SV, Ivliev DS, Balaev PI, Borzunov DYu, Ovsyankin AV, Miloserdov MA. Surgical treatment results of metastatic spine disease with using minimally invasive technologies, including 3D video endoscopic technologies. Burdenko's Journal of Neurosurgery. 2021;85(4):49‑57. (In Russ., In Engl.)
https://doi.org/10.17116/neiro20218504149

Подписка 2025-2 (Burdenko's Journal of Neurosurgery)

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THE AIM OF THE STUDY

Was to evaluate the results of surgical treatment of patients with metastatic lesions of the spine using 3-D video endoscopic technologies.

MATERIAL AND METHODS

We analysed the results of surgical treatment of 33 patients with metastatic lesions of the thoracic spine using a 3D video-assisted thoracoscopic intervention that was performed from November 2017 to December 2019. When examining patients, the following were used: X-ray of the spine, spiral computed tomography (CT), magnetic resonance imaging (MRI), as well as the SINS, Bilsky, Karnovsky, Tokuhashi, Frankel, SF-36 and VAS scales.

RESULTS

The actual life expectancy of the patients completely coincided with the predicted one according to the Tokuhashi scale. Regression of neurological disorders in the early postoperative period (before discharge from the hospital) was observed in 6% of patients (complete in 3%, partial in 3%). When evaluating the results of treatment 12 months after surgery, regression of neurological symptoms was observed in 19% of patients. At the same time, complete regression of neurological disorders occurred in 10%, partial in 9% of patients. When assessing the quality of life on the SF-36 scale, improvement was observed according to the most of the criteria. Also, in the postoperative period, there was a persistent decrease in the intensity of pain syndrome according to VAS compared with the preoperative level.

CONCLUSION

The use of 3-D video endoscopic technologies in the surgical treatment of patients with metastatic lesions of the spine made it possible to improve the quality of life of patients and reduce the number of complications.

Keywords:

metastatic spine disease

3D thoracoscopy

quality of life

survival

Authors:

Lyulin S.V.

Ural State Medical University of the Ministry of Health of the Russian Federation

Ivliev D.S.

Balaev P.I.

Kurgan Regional Oncological Center

Borzunov D.Yu.

Ural State Medical University of the Ministry of Health of the Russian Federation

Ovsyankin A.V.

Miloserdov M.A.

Smolensk State Medical University of the Ministry of Health of the Russian Federation

Received:

30.07.2020

Accepted:

19.03.2021

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