Observational studyJournal of clinical oncology : official journal of the American Society of Clinical Oncology2016
Characteristics of Patients Who Survived < 3 Months or > 2 Years After Surgery for Spinal Metastases: Can We Avoid Inappropriate Patient Selection?
Abstract readMulticenter StudyObservational Study
In one paragraph
Observational study in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
6.6field-weighted citation impact, top 3% of its field
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it, 71 citations in OpenAlex.
- Prognostic scores for survival as decisional support for surgery in spinal metastases: a performance assessment systematic review.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2021Pooled it
- The transformative role of SBRT in the management of spinal metastases.Nature reviews. Clinical oncology · 2026Review
- Association Between Nutritional Status and Survival in Patients Requiring Treatment for Spinal Metastases.Neurosurgery · 2026Article
- Health- related quality of life after surgery for spinal metastases.Journal of bone oncology · 2025Article
- Article
- Incidence of and survival after surgery for metastatic spine disease: a nationwide register-based study between 1997 and 2020 from Finland.Acta orthopaedica · 2025Article
- The Efficacy of a Multidisciplinary Approach and Diagnostic-Therapeutic Algorithm for Vertebral Metastases with Spinal Cord Compression.Medicina (Kaunas, Lithuania) · 2024Article
- Predicting Survival in Patients Presenting With Spinal Epidural Metastases: The Limburg Spinal Metastasis Score.International journal of spine surgery · 2023Article
- More help than harm: surgery for metastatic spinal cord compression is associated with more favorable overall survival within a propensity score analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023Article
- Time to Surgical Treatment for Metastatic Spinal Disease: Identification of Delay Intervals.Global spine journal · 2023Article
- The Evolution of Minimally Invasive Spine Tumor Resection and Stabilization: From K-Wires to Navigated One-Step Screws.Journal of clinical medicine · 2023Article
- Outcome of Surgical Treatment for Metastatic Spinal Cord Compression: A Single-Center Retrospective Study.Asian journal of neurosurgery · 2022Article
- CFR-PEEK Pedicle Screw Instrumentation for Spinal Neoplasms: A Single Center Experience on Safety and Efficacy.Cancers · 2022Article
- Costs Associated With Timely and Delayed Surgical Treatment of Spinal Metastases.Global spine journal · 2022Article
- Percutaneous transforaminal endoscopic decompression combined with percutaneous vertebroplasty in treatment of lumbar vertebral body metastases: A case report.World journal of clinical cases · 2022Article
- Treatment Outcomes in Spinal Metastatic Disease With Indeterminate Stability.Global spine journal · 2022Article
- Multidisciplinary Approach to Patients With Metastatic Spinal Cord Compression: A Diagnostic Therapeutic Algorithm to Improve the Neurological Outcome.Frontiers in oncology · 2022Article
- Answer to the Letter to the Editor of K. Huang concerning "The importance of timely treatment for quality of life and survival in patients with symptomatic spinal metastases" by van Tol FR, et al. [Eur Spine J (2020): DOI 10.1007/s00586-020-06599-x].European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2021Article
- Prognostic Factors Associated With Surviving Less Than 3 Months vs Greater Than 3 Years Specific to Spine Stereotactic Body Radiotherapy and Late Adverse Events.Neurosurgery · 2021Article
- Comprehensive surgical treatment strategy for spinal metastases.Scientific reports · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
30 authors at 1 institution in 2 countries.
Jorrit-Jan VerlaanJorrit-Jan Verlaan, Anne Versteeg, and F. Cumhur Oner, University Medical Center Utrecht, Utrecht; Mark Arts, Medical Center Haaglanden, The Hague; Maarten Hubert Coppes, University Medical Center Groningen, Groningen; Wilco Peul, Leiden University Medical Centre, Leiden, the Netherlands; David Choi and Hugh Alan Crockard, The National Hospital for Neurology and Neurosurgery, University College London; Christian Ulbricht, Charing Cross Hospital, London; Yee Leung, Musgrove Park Hospital, Taunton; Nasir A. Quraishi, Queens Medical Centre, Nottingham, United Kingdom; Todd Albert and James Harrop, Thomas Jefferson University and Hospitals, Philadelphia, PA; Jacob Maciej Buchowski, Washington University, St. Louis, MO; Michael Wang, Jackson Memorial Hospital, University of Miami, Miami, FL; Laurent Balabaud and Christian Mazel, L'Institut Mutualiste Montsouris, Paris, France; Cody Bunger, University Hospital of Aarhus, Aarhus, Denmark; Chung Kee Chung, Seoul National University; Eun Sang Kim and Chong-Suh Lee, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea; Bart Depreitere, University Hospital Leuven, Leuven, Belgium; Michael George Fehlings and Eric Maurice Massicotte, Toronto Western Hospital, Toronto, ON, Canada; Norio Kawahara, Kanazawa Medical University Hospital; Katsuro Tomita, Kanazawa University, Kanazawa; Yasuaki Tokuhashi, Nihon University School of Medicine, Tokyo, Japan; Zhongjun Liu, Peking University Hospital, Beijing, People's Republic of China; Antonio Martin-Benlloch, Hospital Universitario Dr Peset, Valencia, Spain; and Bernhard Meyer, Technical University of Munich, Munich, Germany. j.j.verlaan@umcutrecht.nl.
David ChoiJorrit-Jan Verlaan, Anne Versteeg, and F. Cumhur Oner, University Medical Center Utrecht, Utrecht; Mark Arts, Medical Center Haaglanden, The Hague; Maarten Hubert Coppes, University Medical Center Groningen, Groningen; Wilco Peul, Leiden University Medical Centre, Leiden, the Netherlands; David Choi and Hugh Alan Crockard, The National Hospital for Neurology and Neurosurgery, University College London; Christian Ulbricht, Charing Cross Hospital, London; Yee Leung, Musgrove Park Hospital, Taunton; Nasir A. Quraishi, Queens Medical Centre, Nottingham, United Kingdom; Todd Albert and James Harrop, Thomas Jefferson University and Hospitals, Philadelphia, PA; Jacob Maciej Buchowski, Washington University, St. Louis, MO; Michael Wang, Jackson Memorial Hospital, University of Miami, Miami, FL; Laurent Balabaud and Christian Mazel, L'Institut Mutualiste Montsouris, Paris, France; Cody Bunger, University Hospital of Aarhus, Aarhus, Denmark; Chung Kee Chung, Seoul National University; Eun Sang Kim and Chong-Suh Lee, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea; Bart Depreitere, University Hospital Leuven, Leuven, Belgium; Michael George Fehlings and Eric Maurice Massicotte, Toronto Western Hospital, Toronto, ON, Canada; Norio Kawahara, Kanazawa Medical University Hospital; Katsuro Tomita, Kanazawa University, Kanazawa; Yasuaki Tokuhashi, Nihon University School of Medicine, Tokyo, Japan; Zhongjun Liu, Peking University Hospital, Beijing, People's Republic of China; Antonio Martin-Benlloch, Hospital Universitario Dr Peset, Valencia, Spain; and Bernhard Meyer, Technical University of Munich, Munich, Germany.
Anne VersteegJorrit-Jan Verlaan, Anne Versteeg, and F. Cumhur Oner, University Medical Center Utrecht, Utrecht; Mark Arts, Medical Center Haaglanden, The Hague; Maarten Hubert Coppes, University Medical Center Groningen, Groningen; Wilco Peul, Leiden University Medical Centre, Leiden, the Netherlands; David Choi and Hugh Alan Crockard, The National Hospital for Neurology and Neurosurgery, University College London; Christian Ulbricht, Charing Cross Hospital, London; Yee Leung, Musgrove Park Hospital, Taunton; Nasir A. Quraishi, Queens Medical Centre, Nottingham, United Kingdom; Todd Albert and James Harrop, Thomas Jefferson University and Hospitals, Philadelphia, PA; Jacob Maciej Buchowski, Washington University, St. Louis, MO; Michael Wang, Jackson Memorial Hospital, University of Miami, Miami, FL; Laurent Balabaud and Christian Mazel, L'Institut Mutualiste Montsouris, Paris, France; Cody Bunger, University Hospital of Aarhus, Aarhus, Denmark; Chung Kee Chung, Seoul National University; Eun Sang Kim and Chong-Suh Lee, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea; Bart Depreitere, University Hospital Leuven, Leuven, Belgium; Michael George Fehlings and Eric Maurice Massicotte, Toronto Western Hospital, Toronto, ON, Canada; Norio Kawahara, Kanazawa Medical University Hospital; Katsuro Tomita, Kanazawa University, Kanazawa; Yasuaki Tokuhashi, Nihon University School of Medicine, Tokyo, Japan; Zhongjun Liu, Peking University Hospital, Beijing, People's Republic of China; Antonio Martin-Benlloch, Hospital Universitario Dr Peset, Valencia, Spain; and Bernhard Meyer, Technical University of Munich, Munich, Germany.
Todd AlbertJorrit-Jan Verlaan, Anne Versteeg, and F. Cumhur Oner, University Medical Center Utrecht, Utrecht; Mark Arts, Medical Center Haaglanden, The Hague; Maarten Hubert Coppes, University Medical Center Groningen, Groningen; Wilco Peul, Leiden University Medical Centre, Leiden, the Netherlands; David Choi and Hugh Alan Crockard, The National Hospital for Neurology and Neurosurgery, University College London; Christian Ulbricht, Charing Cross Hospital, London; Yee Leung, Musgrove Park Hospital, Taunton; Nasir A. Quraishi, Queens Medical Centre, Nottingham, United Kingdom; Todd Albert and James Harrop, Thomas Jefferson University and Hospitals, Philadelphia, PA; Jacob Maciej Buchowski, Washington University, St. Louis, MO; Michael Wang, Jackson Memorial Hospital, University of Miami, Miami, FL; Laurent Balabaud and Christian Mazel, L'Institut Mutualiste Montsouris, Paris, France; Cody Bunger, University Hospital of Aarhus, Aarhus, Denmark; Chung Kee Chung, Seoul National University; Eun Sang Kim and Chong-Suh Lee, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea; Bart Depreitere, University Hospital Leuven, Leuven, Belgium; Michael George Fehlings and Eric Maurice Massicotte, Toronto Western Hospital, Toronto, ON, Canada; Norio Kawahara, Kanazawa Medical University Hospital; Katsuro Tomita, Kanazawa University, Kanazawa; Yasuaki Tokuhashi, Nihon University School of Medicine, Tokyo, Japan; Zhongjun Liu, Peking University Hospital, Beijing, People's Republic of China; Antonio Martin-Benlloch, Hospital Universitario Dr Peset, Valencia, Spain; and Bernhard Meyer, Technical University of Munich, Munich, Germany.
Mark ArtsJorrit-Jan Verlaan, Anne Versteeg, and F. Cumhur Oner, University Medical Center Utrecht, Utrecht; Mark Arts, Medical Center Haaglanden, The Hague; Maarten Hubert Coppes, University Medical Center Groningen, Groningen; Wilco Peul, Leiden University Medical Centre, Leiden, the Netherlands; David Choi and Hugh Alan Crockard, The National Hospital for Neurology and Neurosurgery, University College London; Christian Ulbricht, Charing Cross Hospital, London; Yee Leung, Musgrove Park Hospital, Taunton; Nasir A. Quraishi, Queens Medical Centre, Nottingham, United Kingdom; Todd Albert and James Harrop, Thomas Jefferson University and Hospitals, Philadelphia, PA; Jacob Maciej Buchowski, Washington University, St. Louis, MO; Michael Wang, Jackson Memorial Hospital, University of Miami, Miami, FL; Laurent Balabaud and Christian Mazel, L'Institut Mutualiste Montsouris, Paris, France; Cody Bunger, University Hospital of Aarhus, Aarhus, Denmark; Chung Kee Chung, Seoul National University; Eun Sang Kim and Chong-Suh Lee, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea; Bart Depreitere, University Hospital Leuven, Leuven, Belgium; Michael George Fehlings and Eric Maurice Massicotte, Toronto Western Hospital, Toronto, ON, Canada; Norio Kawahara, Kanazawa Medical University Hospital; Katsuro Tomita, Kanazawa University, Kanazawa; Yasuaki Tokuhashi, Nihon University School of Medicine, Tokyo, Japan; Zhongjun Liu, Peking University Hospital, Beijing, People's Republic of China; Antonio Martin-Benlloch, Hospital Universitario Dr Peset, Valencia, Spain; and Bernhard Meyer, Technical University of Munich, Munich, Germany.
Laurent BalabaudJorrit-Jan Verlaan, Anne Versteeg, and F. Cumhur Oner, University Medical Center Utrecht, Utrecht; Mark Arts, Medical Center Haaglanden, The Hague; Maarten Hubert Coppes, University Medical Center Groningen, Groningen; Wilco Peul, Leiden University Medical Centre, Leiden, the Netherlands; David Choi and Hugh Alan Crockard, The National Hospital for Neurology and Neurosurgery, University College London; Christian Ulbricht, Charing Cross Hospital, London; Yee Leung, Musgrove Park Hospital, Taunton; Nasir A. Quraishi, Queens Medical Centre, Nottingham, United Kingdom; Todd Albert and James Harrop, Thomas Jefferson University and Hospitals, Philadelphia, PA; Jacob Maciej Buchowski, Washington University, St. Louis, MO; Michael Wang, Jackson Memorial Hospital, University of Miami, Miami, FL; Laurent Balabaud and Christian Mazel, L'Institut Mutualiste Montsouris, Paris, France; Cody Bunger, University Hospital of Aarhus, Aarhus, Denmark; Chung Kee Chung, Seoul National University; Eun Sang Kim and Chong-Suh Lee, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea; Bart Depreitere, University Hospital Leuven, Leuven, Belgium; Michael George Fehlings and Eric Maurice Massicotte, Toronto Western Hospital, Toronto, ON, Canada; Norio Kawahara, Kanazawa Medical University Hospital; Katsuro Tomita, Kanazawa University, Kanazawa; Yasuaki Tokuhashi, Nihon University School of Medicine, Tokyo, Japan; Zhongjun Liu, Peking University Hospital, Beijing, People's Republic of China; Antonio Martin-Benlloch, Hospital Universitario Dr Peset, Valencia, Spain; and Bernhard Meyer, Technical University of Munich, Munich, Germany.
Cody BungerJorrit-Jan Verlaan, Anne Versteeg, and F. Cumhur Oner, University Medical Center Utrecht, Utrecht; Mark Arts, Medical Center Haaglanden, The Hague; Maarten Hubert Coppes, University Medical Center Groningen, Groningen; Wilco Peul, Leiden University Medical Centre, Leiden, the Netherlands; David Choi and Hugh Alan Crockard, The National Hospital for Neurology and Neurosurgery, University College London; Christian Ulbricht, Charing Cross Hospital, London; Yee Leung, Musgrove Park Hospital, Taunton; Nasir A. Quraishi, Queens Medical Centre, Nottingham, United Kingdom; Todd Albert and James Harrop, Thomas Jefferson University and Hospitals, Philadelphia, PA; Jacob Maciej Buchowski, Washington University, St. Louis, MO; Michael Wang, Jackson Memorial Hospital, University of Miami, Miami, FL; Laurent Balabaud and Christian Mazel, L'Institut Mutualiste Montsouris, Paris, France; Cody Bunger, University Hospital of Aarhus, Aarhus, Denmark; Chung Kee Chung, Seoul National University; Eun Sang Kim and Chong-Suh Lee, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea; Bart Depreitere, University Hospital Leuven, Leuven, Belgium; Michael George Fehlings and Eric Maurice Massicotte, Toronto Western Hospital, Toronto, ON, Canada; Norio Kawahara, Kanazawa Medical University Hospital; Katsuro Tomita, Kanazawa University, Kanazawa; Yasuaki Tokuhashi, Nihon University School of Medicine, Tokyo, Japan; Zhongjun Liu, Peking University Hospital, Beijing, People's Republic of China; Antonio Martin-Benlloch, Hospital Universitario Dr Peset, Valencia, Spain; and Bernhard Meyer, Technical University of Munich, Munich, Germany.
Jacob Maciej BuchowskiJorrit-Jan Verlaan, Anne Versteeg, and F. Cumhur Oner, University Medical Center Utrecht, Utrecht; Mark Arts, Medical Center Haaglanden, The Hague; Maarten Hubert Coppes, University Medical Center Groningen, Groningen; Wilco Peul, Leiden University Medical Centre, Leiden, the Netherlands; David Choi and Hugh Alan Crockard, The National Hospital for Neurology and Neurosurgery, University College London; Christian Ulbricht, Charing Cross Hospital, London; Yee Leung, Musgrove Park Hospital, Taunton; Nasir A. Quraishi, Queens Medical Centre, Nottingham, United Kingdom; Todd Albert and James Harrop, Thomas Jefferson University and Hospitals, Philadelphia, PA; Jacob Maciej Buchowski, Washington University, St. Louis, MO; Michael Wang, Jackson Memorial Hospital, University of Miami, Miami, FL; Laurent Balabaud and Christian Mazel, L'Institut Mutualiste Montsouris, Paris, France; Cody Bunger, University Hospital of Aarhus, Aarhus, Denmark; Chung Kee Chung, Seoul National University; Eun Sang Kim and Chong-Suh Lee, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea; Bart Depreitere, University Hospital Leuven, Leuven, Belgium; Michael George Fehlings and Eric Maurice Massicotte, Toronto Western Hospital, Toronto, ON, Canada; Norio Kawahara, Kanazawa Medical University Hospital; Katsuro Tomita, Kanazawa University, Kanazawa; Yasuaki Tokuhashi, Nihon University School of Medicine, Tokyo, Japan; Zhongjun Liu, Peking University Hospital, Beijing, People's Republic of China; Antonio Martin-Benlloch, Hospital Universitario Dr Peset, Valencia, Spain; and Bernhard Meyer, Technical University of Munich, Munich, Germany.
Chung Kee ChungJorrit-Jan Verlaan, Anne Versteeg, and F. Cumhur Oner, University Medical Center Utrecht, Utrecht; Mark Arts, Medical Center Haaglanden, The Hague; Maarten Hubert Coppes, University Medical Center Groningen, Groningen; Wilco Peul, Leiden University Medical Centre, Leiden, the Netherlands; David Choi and Hugh Alan Crockard, The National Hospital for Neurology and Neurosurgery, University College London; Christian Ulbricht, Charing Cross Hospital, London; Yee Leung, Musgrove Park Hospital, Taunton; Nasir A. Quraishi, Queens Medical Centre, Nottingham, United Kingdom; Todd Albert and James Harrop, Thomas Jefferson University and Hospitals, Philadelphia, PA; Jacob Maciej Buchowski, Washington University, St. Louis, MO; Michael Wang, Jackson Memorial Hospital, University of Miami, Miami, FL; Laurent Balabaud and Christian Mazel, L'Institut Mutualiste Montsouris, Paris, France; Cody Bunger, University Hospital of Aarhus, Aarhus, Denmark; Chung Kee Chung, Seoul National University; Eun Sang Kim and Chong-Suh Lee, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea; Bart Depreitere, University Hospital Leuven, Leuven, Belgium; Michael George Fehlings and Eric Maurice Massicotte, Toronto Western Hospital, Toronto, ON, Canada; Norio Kawahara, Kanazawa Medical University Hospital; Katsuro Tomita, Kanazawa University, Kanazawa; Yasuaki Tokuhashi, Nihon University School of Medicine, Tokyo, Japan; Zhongjun Liu, Peking University Hospital, Beijing, People's Republic of China; Antonio Martin-Benlloch, Hospital Universitario Dr Peset, Valencia, Spain; and Bernhard Meyer, Technical University of Munich, Munich, Germany.
Maarten Hubert CoppesJorrit-Jan Verlaan, Anne Versteeg, and F. Cumhur Oner, University Medical Center Utrecht, Utrecht; Mark Arts, Medical Center Haaglanden, The Hague; Maarten Hubert Coppes, University Medical Center Groningen, Groningen; Wilco Peul, Leiden University Medical Centre, Leiden, the Netherlands; David Choi and Hugh Alan Crockard, The National Hospital for Neurology and Neurosurgery, University College London; Christian Ulbricht, Charing Cross Hospital, London; Yee Leung, Musgrove Park Hospital, Taunton; Nasir A. Quraishi, Queens Medical Centre, Nottingham, United Kingdom; Todd Albert and James Harrop, Thomas Jefferson University and Hospitals, Philadelphia, PA; Jacob Maciej Buchowski, Washington University, St. Louis, MO; Michael Wang, Jackson Memorial Hospital, University of Miami, Miami, FL; Laurent Balabaud and Christian Mazel, L'Institut Mutualiste Montsouris, Paris, France; Cody Bunger, University Hospital of Aarhus, Aarhus, Denmark; Chung Kee Chung, Seoul National University; Eun Sang Kim and Chong-Suh Lee, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea; Bart Depreitere, University Hospital Leuven, Leuven, Belgium; Michael George Fehlings and Eric Maurice Massicotte, Toronto Western Hospital, Toronto, ON, Canada; Norio Kawahara, Kanazawa Medical University Hospital; Katsuro Tomita, Kanazawa University, Kanazawa; Yasuaki Tokuhashi, Nihon University School of Medicine, Tokyo, Japan; Zhongjun Liu, Peking University Hospital, Beijing, People's Republic of China; Antonio Martin-Benlloch, Hospital Universitario Dr Peset, Valencia, Spain; and Bernhard Meyer, Technical University of Munich, Munich, Germany.
Hugh Alan CrockardJorrit-Jan Verlaan, Anne Versteeg, and F. Cumhur Oner, University Medical Center Utrecht, Utrecht; Mark Arts, Medical Center Haaglanden, The Hague; Maarten Hubert Coppes, University Medical Center Groningen, Groningen; Wilco Peul, Leiden University Medical Centre, Leiden, the Netherlands; David Choi and Hugh Alan Crockard, The National Hospital for Neurology and Neurosurgery, University College London; Christian Ulbricht, Charing Cross Hospital, London; Yee Leung, Musgrove Park Hospital, Taunton; Nasir A. Quraishi, Queens Medical Centre, Nottingham, United Kingdom; Todd Albert and James Harrop, Thomas Jefferson University and Hospitals, Philadelphia, PA; Jacob Maciej Buchowski, Washington University, St. Louis, MO; Michael Wang, Jackson Memorial Hospital, University of Miami, Miami, FL; Laurent Balabaud and Christian Mazel, L'Institut Mutualiste Montsouris, Paris, France; Cody Bunger, University Hospital of Aarhus, Aarhus, Denmark; Chung Kee Chung, Seoul National University; Eun Sang Kim and Chong-Suh Lee, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea; Bart Depreitere, University Hospital Leuven, Leuven, Belgium; Michael George Fehlings and Eric Maurice Massicotte, Toronto Western Hospital, Toronto, ON, Canada; Norio Kawahara, Kanazawa Medical University Hospital; Katsuro Tomita, Kanazawa University, Kanazawa; Yasuaki Tokuhashi, Nihon University School of Medicine, Tokyo, Japan; Zhongjun Liu, Peking University Hospital, Beijing, People's Republic of China; Antonio Martin-Benlloch, Hospital Universitario Dr Peset, Valencia, Spain; and Bernhard Meyer, Technical University of Munich, Munich, Germany.
Bart DepreitereJorrit-Jan Verlaan, Anne Versteeg, and F. Cumhur Oner, University Medical Center Utrecht, Utrecht; Mark Arts, Medical Center Haaglanden, The Hague; Maarten Hubert Coppes, University Medical Center Groningen, Groningen; Wilco Peul, Leiden University Medical Centre, Leiden, the Netherlands; David Choi and Hugh Alan Crockard, The National Hospital for Neurology and Neurosurgery, University College London; Christian Ulbricht, Charing Cross Hospital, London; Yee Leung, Musgrove Park Hospital, Taunton; Nasir A. Quraishi, Queens Medical Centre, Nottingham, United Kingdom; Todd Albert and James Harrop, Thomas Jefferson University and Hospitals, Philadelphia, PA; Jacob Maciej Buchowski, Washington University, St. Louis, MO; Michael Wang, Jackson Memorial Hospital, University of Miami, Miami, FL; Laurent Balabaud and Christian Mazel, L'Institut Mutualiste Montsouris, Paris, France; Cody Bunger, University Hospital of Aarhus, Aarhus, Denmark; Chung Kee Chung, Seoul National University; Eun Sang Kim and Chong-Suh Lee, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea; Bart Depreitere, University Hospital Leuven, Leuven, Belgium; Michael George Fehlings and Eric Maurice Massicotte, Toronto Western Hospital, Toronto, ON, Canada; Norio Kawahara, Kanazawa Medical University Hospital; Katsuro Tomita, Kanazawa University, Kanazawa; Yasuaki Tokuhashi, Nihon University School of Medicine, Tokyo, Japan; Zhongjun Liu, Peking University Hospital, Beijing, People's Republic of China; Antonio Martin-Benlloch, Hospital Universitario Dr Peset, Valencia, Spain; and Bernhard Meyer, Technical University of Munich, Munich, Germany.
Michael George FehlingsJorrit-Jan Verlaan, Anne Versteeg, and F. Cumhur Oner, University Medical Center Utrecht, Utrecht; Mark Arts, Medical Center Haaglanden, The Hague; Maarten Hubert Coppes, University Medical Center Groningen, Groningen; Wilco Peul, Leiden University Medical Centre, Leiden, the Netherlands; David Choi and Hugh Alan Crockard, The National Hospital for Neurology and Neurosurgery, University College London; Christian Ulbricht, Charing Cross Hospital, London; Yee Leung, Musgrove Park Hospital, Taunton; Nasir A. Quraishi, Queens Medical Centre, Nottingham, United Kingdom; Todd Albert and James Harrop, Thomas Jefferson University and Hospitals, Philadelphia, PA; Jacob Maciej Buchowski, Washington University, St. Louis, MO; Michael Wang, Jackson Memorial Hospital, University of Miami, Miami, FL; Laurent Balabaud and Christian Mazel, L'Institut Mutualiste Montsouris, Paris, France; Cody Bunger, University Hospital of Aarhus, Aarhus, Denmark; Chung Kee Chung, Seoul National University; Eun Sang Kim and Chong-Suh Lee, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea; Bart Depreitere, University Hospital Leuven, Leuven, Belgium; Michael George Fehlings and Eric Maurice Massicotte, Toronto Western Hospital, Toronto, ON, Canada; Norio Kawahara, Kanazawa Medical University Hospital; Katsuro Tomita, Kanazawa University, Kanazawa; Yasuaki Tokuhashi, Nihon University School of Medicine, Tokyo, Japan; Zhongjun Liu, Peking University Hospital, Beijing, People's Republic of China; Antonio Martin-Benlloch, Hospital Universitario Dr Peset, Valencia, Spain; and Bernhard Meyer, Technical University of Munich, Munich, Germany.
James HarropJorrit-Jan Verlaan, Anne Versteeg, and F. Cumhur Oner, University Medical Center Utrecht, Utrecht; Mark Arts, Medical Center Haaglanden, The Hague; Maarten Hubert Coppes, University Medical Center Groningen, Groningen; Wilco Peul, Leiden University Medical Centre, Leiden, the Netherlands; David Choi and Hugh Alan Crockard, The National Hospital for Neurology and Neurosurgery, University College London; Christian Ulbricht, Charing Cross Hospital, London; Yee Leung, Musgrove Park Hospital, Taunton; Nasir A. Quraishi, Queens Medical Centre, Nottingham, United Kingdom; Todd Albert and James Harrop, Thomas Jefferson University and Hospitals, Philadelphia, PA; Jacob Maciej Buchowski, Washington University, St. Louis, MO; Michael Wang, Jackson Memorial Hospital, University of Miami, Miami, FL; Laurent Balabaud and Christian Mazel, L'Institut Mutualiste Montsouris, Paris, France; Cody Bunger, University Hospital of Aarhus, Aarhus, Denmark; Chung Kee Chung, Seoul National University; Eun Sang Kim and Chong-Suh Lee, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea; Bart Depreitere, University Hospital Leuven, Leuven, Belgium; Michael George Fehlings and Eric Maurice Massicotte, Toronto Western Hospital, Toronto, ON, Canada; Norio Kawahara, Kanazawa Medical University Hospital; Katsuro Tomita, Kanazawa University, Kanazawa; Yasuaki Tokuhashi, Nihon University School of Medicine, Tokyo, Japan; Zhongjun Liu, Peking University Hospital, Beijing, People's Republic of China; Antonio Martin-Benlloch, Hospital Universitario Dr Peset, Valencia, Spain; and Bernhard Meyer, Technical University of Munich, Munich, Germany.
Norio KawaharaJorrit-Jan Verlaan, Anne Versteeg, and F. Cumhur Oner, University Medical Center Utrecht, Utrecht; Mark Arts, Medical Center Haaglanden, The Hague; Maarten Hubert Coppes, University Medical Center Groningen, Groningen; Wilco Peul, Leiden University Medical Centre, Leiden, the Netherlands; David Choi and Hugh Alan Crockard, The National Hospital for Neurology and Neurosurgery, University College London; Christian Ulbricht, Charing Cross Hospital, London; Yee Leung, Musgrove Park Hospital, Taunton; Nasir A. Quraishi, Queens Medical Centre, Nottingham, United Kingdom; Todd Albert and James Harrop, Thomas Jefferson University and Hospitals, Philadelphia, PA; Jacob Maciej Buchowski, Washington University, St. Louis, MO; Michael Wang, Jackson Memorial Hospital, University of Miami, Miami, FL; Laurent Balabaud and Christian Mazel, L'Institut Mutualiste Montsouris, Paris, France; Cody Bunger, University Hospital of Aarhus, Aarhus, Denmark; Chung Kee Chung, Seoul National University; Eun Sang Kim and Chong-Suh Lee, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea; Bart Depreitere, University Hospital Leuven, Leuven, Belgium; Michael George Fehlings and Eric Maurice Massicotte, Toronto Western Hospital, Toronto, ON, Canada; Norio Kawahara, Kanazawa Medical University Hospital; Katsuro Tomita, Kanazawa University, Kanazawa; Yasuaki Tokuhashi, Nihon University School of Medicine, Tokyo, Japan; Zhongjun Liu, Peking University Hospital, Beijing, People's Republic of China; Antonio Martin-Benlloch, Hospital Universitario Dr Peset, Valencia, Spain; and Bernhard Meyer, Technical University of Munich, Munich, Germany.
Eun Sang KimJorrit-Jan Verlaan, Anne Versteeg, and F. Cumhur Oner, University Medical Center Utrecht, Utrecht; Mark Arts, Medical Center Haaglanden, The Hague; Maarten Hubert Coppes, University Medical Center Groningen, Groningen; Wilco Peul, Leiden University Medical Centre, Leiden, the Netherlands; David Choi and Hugh Alan Crockard, The National Hospital for Neurology and Neurosurgery, University College London; Christian Ulbricht, Charing Cross Hospital, London; Yee Leung, Musgrove Park Hospital, Taunton; Nasir A. Quraishi, Queens Medical Centre, Nottingham, United Kingdom; Todd Albert and James Harrop, Thomas Jefferson University and Hospitals, Philadelphia, PA; Jacob Maciej Buchowski, Washington University, St. Louis, MO; Michael Wang, Jackson Memorial Hospital, University of Miami, Miami, FL; Laurent Balabaud and Christian Mazel, L'Institut Mutualiste Montsouris, Paris, France; Cody Bunger, University Hospital of Aarhus, Aarhus, Denmark; Chung Kee Chung, Seoul National University; Eun Sang Kim and Chong-Suh Lee, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea; Bart Depreitere, University Hospital Leuven, Leuven, Belgium; Michael George Fehlings and Eric Maurice Massicotte, Toronto Western Hospital, Toronto, ON, Canada; Norio Kawahara, Kanazawa Medical University Hospital; Katsuro Tomita, Kanazawa University, Kanazawa; Yasuaki Tokuhashi, Nihon University School of Medicine, Tokyo, Japan; Zhongjun Liu, Peking University Hospital, Beijing, People's Republic of China; Antonio Martin-Benlloch, Hospital Universitario Dr Peset, Valencia, Spain; and Bernhard Meyer, Technical University of Munich, Munich, Germany.
Chong-Suh LeeJorrit-Jan Verlaan, Anne Versteeg, and F. Cumhur Oner, University Medical Center Utrecht, Utrecht; Mark Arts, Medical Center Haaglanden, The Hague; Maarten Hubert Coppes, University Medical Center Groningen, Groningen; Wilco Peul, Leiden University Medical Centre, Leiden, the Netherlands; David Choi and Hugh Alan Crockard, The National Hospital for Neurology and Neurosurgery, University College London; Christian Ulbricht, Charing Cross Hospital, London; Yee Leung, Musgrove Park Hospital, Taunton; Nasir A. Quraishi, Queens Medical Centre, Nottingham, United Kingdom; Todd Albert and James Harrop, Thomas Jefferson University and Hospitals, Philadelphia, PA; Jacob Maciej Buchowski, Washington University, St. Louis, MO; Michael Wang, Jackson Memorial Hospital, University of Miami, Miami, FL; Laurent Balabaud and Christian Mazel, L'Institut Mutualiste Montsouris, Paris, France; Cody Bunger, University Hospital of Aarhus, Aarhus, Denmark; Chung Kee Chung, Seoul National University; Eun Sang Kim and Chong-Suh Lee, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea; Bart Depreitere, University Hospital Leuven, Leuven, Belgium; Michael George Fehlings and Eric Maurice Massicotte, Toronto Western Hospital, Toronto, ON, Canada; Norio Kawahara, Kanazawa Medical University Hospital; Katsuro Tomita, Kanazawa University, Kanazawa; Yasuaki Tokuhashi, Nihon University School of Medicine, Tokyo, Japan; Zhongjun Liu, Peking University Hospital, Beijing, People's Republic of China; Antonio Martin-Benlloch, Hospital Universitario Dr Peset, Valencia, Spain; and Bernhard Meyer, Technical University of Munich, Munich, Germany.
Yee LeungJorrit-Jan Verlaan, Anne Versteeg, and F. Cumhur Oner, University Medical Center Utrecht, Utrecht; Mark Arts, Medical Center Haaglanden, The Hague; Maarten Hubert Coppes, University Medical Center Groningen, Groningen; Wilco Peul, Leiden University Medical Centre, Leiden, the Netherlands; David Choi and Hugh Alan Crockard, The National Hospital for Neurology and Neurosurgery, University College London; Christian Ulbricht, Charing Cross Hospital, London; Yee Leung, Musgrove Park Hospital, Taunton; Nasir A. Quraishi, Queens Medical Centre, Nottingham, United Kingdom; Todd Albert and James Harrop, Thomas Jefferson University and Hospitals, Philadelphia, PA; Jacob Maciej Buchowski, Washington University, St. Louis, MO; Michael Wang, Jackson Memorial Hospital, University of Miami, Miami, FL; Laurent Balabaud and Christian Mazel, L'Institut Mutualiste Montsouris, Paris, France; Cody Bunger, University Hospital of Aarhus, Aarhus, Denmark; Chung Kee Chung, Seoul National University; Eun Sang Kim and Chong-Suh Lee, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea; Bart Depreitere, University Hospital Leuven, Leuven, Belgium; Michael George Fehlings and Eric Maurice Massicotte, Toronto Western Hospital, Toronto, ON, Canada; Norio Kawahara, Kanazawa Medical University Hospital; Katsuro Tomita, Kanazawa University, Kanazawa; Yasuaki Tokuhashi, Nihon University School of Medicine, Tokyo, Japan; Zhongjun Liu, Peking University Hospital, Beijing, People's Republic of China; Antonio Martin-Benlloch, Hospital Universitario Dr Peset, Valencia, Spain; and Bernhard Meyer, Technical University of Munich, Munich, Germany.
Zhongjun LiuJorrit-Jan Verlaan, Anne Versteeg, and F. Cumhur Oner, University Medical Center Utrecht, Utrecht; Mark Arts, Medical Center Haaglanden, The Hague; Maarten Hubert Coppes, University Medical Center Groningen, Groningen; Wilco Peul, Leiden University Medical Centre, Leiden, the Netherlands; David Choi and Hugh Alan Crockard, The National Hospital for Neurology and Neurosurgery, University College London; Christian Ulbricht, Charing Cross Hospital, London; Yee Leung, Musgrove Park Hospital, Taunton; Nasir A. Quraishi, Queens Medical Centre, Nottingham, United Kingdom; Todd Albert and James Harrop, Thomas Jefferson University and Hospitals, Philadelphia, PA; Jacob Maciej Buchowski, Washington University, St. Louis, MO; Michael Wang, Jackson Memorial Hospital, University of Miami, Miami, FL; Laurent Balabaud and Christian Mazel, L'Institut Mutualiste Montsouris, Paris, France; Cody Bunger, University Hospital of Aarhus, Aarhus, Denmark; Chung Kee Chung, Seoul National University; Eun Sang Kim and Chong-Suh Lee, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea; Bart Depreitere, University Hospital Leuven, Leuven, Belgium; Michael George Fehlings and Eric Maurice Massicotte, Toronto Western Hospital, Toronto, ON, Canada; Norio Kawahara, Kanazawa Medical University Hospital; Katsuro Tomita, Kanazawa University, Kanazawa; Yasuaki Tokuhashi, Nihon University School of Medicine, Tokyo, Japan; Zhongjun Liu, Peking University Hospital, Beijing, People's Republic of China; Antonio Martin-Benlloch, Hospital Universitario Dr Peset, Valencia, Spain; and Bernhard Meyer, Technical University of Munich, Munich, Germany.
Antonio Martin-BenllochJorrit-Jan Verlaan, Anne Versteeg, and F. Cumhur Oner, University Medical Center Utrecht, Utrecht; Mark Arts, Medical Center Haaglanden, The Hague; Maarten Hubert Coppes, University Medical Center Groningen, Groningen; Wilco Peul, Leiden University Medical Centre, Leiden, the Netherlands; David Choi and Hugh Alan Crockard, The National Hospital for Neurology and Neurosurgery, University College London; Christian Ulbricht, Charing Cross Hospital, London; Yee Leung, Musgrove Park Hospital, Taunton; Nasir A. Quraishi, Queens Medical Centre, Nottingham, United Kingdom; Todd Albert and James Harrop, Thomas Jefferson University and Hospitals, Philadelphia, PA; Jacob Maciej Buchowski, Washington University, St. Louis, MO; Michael Wang, Jackson Memorial Hospital, University of Miami, Miami, FL; Laurent Balabaud and Christian Mazel, L'Institut Mutualiste Montsouris, Paris, France; Cody Bunger, University Hospital of Aarhus, Aarhus, Denmark; Chung Kee Chung, Seoul National University; Eun Sang Kim and Chong-Suh Lee, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea; Bart Depreitere, University Hospital Leuven, Leuven, Belgium; Michael George Fehlings and Eric Maurice Massicotte, Toronto Western Hospital, Toronto, ON, Canada; Norio Kawahara, Kanazawa Medical University Hospital; Katsuro Tomita, Kanazawa University, Kanazawa; Yasuaki Tokuhashi, Nihon University School of Medicine, Tokyo, Japan; Zhongjun Liu, Peking University Hospital, Beijing, People's Republic of China; Antonio Martin-Benlloch, Hospital Universitario Dr Peset, Valencia, Spain; and Bernhard Meyer, Technical University of Munich, Munich, Germany.
Eric Maurice MassicotteJorrit-Jan Verlaan, Anne Versteeg, and F. Cumhur Oner, University Medical Center Utrecht, Utrecht; Mark Arts, Medical Center Haaglanden, The Hague; Maarten Hubert Coppes, University Medical Center Groningen, Groningen; Wilco Peul, Leiden University Medical Centre, Leiden, the Netherlands; David Choi and Hugh Alan Crockard, The National Hospital for Neurology and Neurosurgery, University College London; Christian Ulbricht, Charing Cross Hospital, London; Yee Leung, Musgrove Park Hospital, Taunton; Nasir A. Quraishi, Queens Medical Centre, Nottingham, United Kingdom; Todd Albert and James Harrop, Thomas Jefferson University and Hospitals, Philadelphia, PA; Jacob Maciej Buchowski, Washington University, St. Louis, MO; Michael Wang, Jackson Memorial Hospital, University of Miami, Miami, FL; Laurent Balabaud and Christian Mazel, L'Institut Mutualiste Montsouris, Paris, France; Cody Bunger, University Hospital of Aarhus, Aarhus, Denmark; Chung Kee Chung, Seoul National University; Eun Sang Kim and Chong-Suh Lee, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea; Bart Depreitere, University Hospital Leuven, Leuven, Belgium; Michael George Fehlings and Eric Maurice Massicotte, Toronto Western Hospital, Toronto, ON, Canada; Norio Kawahara, Kanazawa Medical University Hospital; Katsuro Tomita, Kanazawa University, Kanazawa; Yasuaki Tokuhashi, Nihon University School of Medicine, Tokyo, Japan; Zhongjun Liu, Peking University Hospital, Beijing, People's Republic of China; Antonio Martin-Benlloch, Hospital Universitario Dr Peset, Valencia, Spain; and Bernhard Meyer, Technical University of Munich, Munich, Germany.
Christian MazelJorrit-Jan Verlaan, Anne Versteeg, and F. Cumhur Oner, University Medical Center Utrecht, Utrecht; Mark Arts, Medical Center Haaglanden, The Hague; Maarten Hubert Coppes, University Medical Center Groningen, Groningen; Wilco Peul, Leiden University Medical Centre, Leiden, the Netherlands; David Choi and Hugh Alan Crockard, The National Hospital for Neurology and Neurosurgery, University College London; Christian Ulbricht, Charing Cross Hospital, London; Yee Leung, Musgrove Park Hospital, Taunton; Nasir A. Quraishi, Queens Medical Centre, Nottingham, United Kingdom; Todd Albert and James Harrop, Thomas Jefferson University and Hospitals, Philadelphia, PA; Jacob Maciej Buchowski, Washington University, St. Louis, MO; Michael Wang, Jackson Memorial Hospital, University of Miami, Miami, FL; Laurent Balabaud and Christian Mazel, L'Institut Mutualiste Montsouris, Paris, France; Cody Bunger, University Hospital of Aarhus, Aarhus, Denmark; Chung Kee Chung, Seoul National University; Eun Sang Kim and Chong-Suh Lee, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea; Bart Depreitere, University Hospital Leuven, Leuven, Belgium; Michael George Fehlings and Eric Maurice Massicotte, Toronto Western Hospital, Toronto, ON, Canada; Norio Kawahara, Kanazawa Medical University Hospital; Katsuro Tomita, Kanazawa University, Kanazawa; Yasuaki Tokuhashi, Nihon University School of Medicine, Tokyo, Japan; Zhongjun Liu, Peking University Hospital, Beijing, People's Republic of China; Antonio Martin-Benlloch, Hospital Universitario Dr Peset, Valencia, Spain; and Bernhard Meyer, Technical University of Munich, Munich, Germany.
Bernhard MeyerJorrit-Jan Verlaan, Anne Versteeg, and F. Cumhur Oner, University Medical Center Utrecht, Utrecht; Mark Arts, Medical Center Haaglanden, The Hague; Maarten Hubert Coppes, University Medical Center Groningen, Groningen; Wilco Peul, Leiden University Medical Centre, Leiden, the Netherlands; David Choi and Hugh Alan Crockard, The National Hospital for Neurology and Neurosurgery, University College London; Christian Ulbricht, Charing Cross Hospital, London; Yee Leung, Musgrove Park Hospital, Taunton; Nasir A. Quraishi, Queens Medical Centre, Nottingham, United Kingdom; Todd Albert and James Harrop, Thomas Jefferson University and Hospitals, Philadelphia, PA; Jacob Maciej Buchowski, Washington University, St. Louis, MO; Michael Wang, Jackson Memorial Hospital, University of Miami, Miami, FL; Laurent Balabaud and Christian Mazel, L'Institut Mutualiste Montsouris, Paris, France; Cody Bunger, University Hospital of Aarhus, Aarhus, Denmark; Chung Kee Chung, Seoul National University; Eun Sang Kim and Chong-Suh Lee, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea; Bart Depreitere, University Hospital Leuven, Leuven, Belgium; Michael George Fehlings and Eric Maurice Massicotte, Toronto Western Hospital, Toronto, ON, Canada; Norio Kawahara, Kanazawa Medical University Hospital; Katsuro Tomita, Kanazawa University, Kanazawa; Yasuaki Tokuhashi, Nihon University School of Medicine, Tokyo, Japan; Zhongjun Liu, Peking University Hospital, Beijing, People's Republic of China; Antonio Martin-Benlloch, Hospital Universitario Dr Peset, Valencia, Spain; and Bernhard Meyer, Technical University of Munich, Munich, Germany.
Wilco PeulJorrit-Jan Verlaan, Anne Versteeg, and F. Cumhur Oner, University Medical Center Utrecht, Utrecht; Mark Arts, Medical Center Haaglanden, The Hague; Maarten Hubert Coppes, University Medical Center Groningen, Groningen; Wilco Peul, Leiden University Medical Centre, Leiden, the Netherlands; David Choi and Hugh Alan Crockard, The National Hospital for Neurology and Neurosurgery, University College London; Christian Ulbricht, Charing Cross Hospital, London; Yee Leung, Musgrove Park Hospital, Taunton; Nasir A. Quraishi, Queens Medical Centre, Nottingham, United Kingdom; Todd Albert and James Harrop, Thomas Jefferson University and Hospitals, Philadelphia, PA; Jacob Maciej Buchowski, Washington University, St. Louis, MO; Michael Wang, Jackson Memorial Hospital, University of Miami, Miami, FL; Laurent Balabaud and Christian Mazel, L'Institut Mutualiste Montsouris, Paris, France; Cody Bunger, University Hospital of Aarhus, Aarhus, Denmark; Chung Kee Chung, Seoul National University; Eun Sang Kim and Chong-Suh Lee, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea; Bart Depreitere, University Hospital Leuven, Leuven, Belgium; Michael George Fehlings and Eric Maurice Massicotte, Toronto Western Hospital, Toronto, ON, Canada; Norio Kawahara, Kanazawa Medical University Hospital; Katsuro Tomita, Kanazawa University, Kanazawa; Yasuaki Tokuhashi, Nihon University School of Medicine, Tokyo, Japan; Zhongjun Liu, Peking University Hospital, Beijing, People's Republic of China; Antonio Martin-Benlloch, Hospital Universitario Dr Peset, Valencia, Spain; and Bernhard Meyer, Technical University of Munich, Munich, Germany.
Nasir A QuraishiJorrit-Jan Verlaan, Anne Versteeg, and F. Cumhur Oner, University Medical Center Utrecht, Utrecht; Mark Arts, Medical Center Haaglanden, The Hague; Maarten Hubert Coppes, University Medical Center Groningen, Groningen; Wilco Peul, Leiden University Medical Centre, Leiden, the Netherlands; David Choi and Hugh Alan Crockard, The National Hospital for Neurology and Neurosurgery, University College London; Christian Ulbricht, Charing Cross Hospital, London; Yee Leung, Musgrove Park Hospital, Taunton; Nasir A. Quraishi, Queens Medical Centre, Nottingham, United Kingdom; Todd Albert and James Harrop, Thomas Jefferson University and Hospitals, Philadelphia, PA; Jacob Maciej Buchowski, Washington University, St. Louis, MO; Michael Wang, Jackson Memorial Hospital, University of Miami, Miami, FL; Laurent Balabaud and Christian Mazel, L'Institut Mutualiste Montsouris, Paris, France; Cody Bunger, University Hospital of Aarhus, Aarhus, Denmark; Chung Kee Chung, Seoul National University; Eun Sang Kim and Chong-Suh Lee, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea; Bart Depreitere, University Hospital Leuven, Leuven, Belgium; Michael George Fehlings and Eric Maurice Massicotte, Toronto Western Hospital, Toronto, ON, Canada; Norio Kawahara, Kanazawa Medical University Hospital; Katsuro Tomita, Kanazawa University, Kanazawa; Yasuaki Tokuhashi, Nihon University School of Medicine, Tokyo, Japan; Zhongjun Liu, Peking University Hospital, Beijing, People's Republic of China; Antonio Martin-Benlloch, Hospital Universitario Dr Peset, Valencia, Spain; and Bernhard Meyer, Technical University of Munich, Munich, Germany.
Yasuaki TokuhashiJorrit-Jan Verlaan, Anne Versteeg, and F. Cumhur Oner, University Medical Center Utrecht, Utrecht; Mark Arts, Medical Center Haaglanden, The Hague; Maarten Hubert Coppes, University Medical Center Groningen, Groningen; Wilco Peul, Leiden University Medical Centre, Leiden, the Netherlands; David Choi and Hugh Alan Crockard, The National Hospital for Neurology and Neurosurgery, University College London; Christian Ulbricht, Charing Cross Hospital, London; Yee Leung, Musgrove Park Hospital, Taunton; Nasir A. Quraishi, Queens Medical Centre, Nottingham, United Kingdom; Todd Albert and James Harrop, Thomas Jefferson University and Hospitals, Philadelphia, PA; Jacob Maciej Buchowski, Washington University, St. Louis, MO; Michael Wang, Jackson Memorial Hospital, University of Miami, Miami, FL; Laurent Balabaud and Christian Mazel, L'Institut Mutualiste Montsouris, Paris, France; Cody Bunger, University Hospital of Aarhus, Aarhus, Denmark; Chung Kee Chung, Seoul National University; Eun Sang Kim and Chong-Suh Lee, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea; Bart Depreitere, University Hospital Leuven, Leuven, Belgium; Michael George Fehlings and Eric Maurice Massicotte, Toronto Western Hospital, Toronto, ON, Canada; Norio Kawahara, Kanazawa Medical University Hospital; Katsuro Tomita, Kanazawa University, Kanazawa; Yasuaki Tokuhashi, Nihon University School of Medicine, Tokyo, Japan; Zhongjun Liu, Peking University Hospital, Beijing, People's Republic of China; Antonio Martin-Benlloch, Hospital Universitario Dr Peset, Valencia, Spain; and Bernhard Meyer, Technical University of Munich, Munich, Germany.
Katsuro TomitaJorrit-Jan Verlaan, Anne Versteeg, and F. Cumhur Oner, University Medical Center Utrecht, Utrecht; Mark Arts, Medical Center Haaglanden, The Hague; Maarten Hubert Coppes, University Medical Center Groningen, Groningen; Wilco Peul, Leiden University Medical Centre, Leiden, the Netherlands; David Choi and Hugh Alan Crockard, The National Hospital for Neurology and Neurosurgery, University College London; Christian Ulbricht, Charing Cross Hospital, London; Yee Leung, Musgrove Park Hospital, Taunton; Nasir A. Quraishi, Queens Medical Centre, Nottingham, United Kingdom; Todd Albert and James Harrop, Thomas Jefferson University and Hospitals, Philadelphia, PA; Jacob Maciej Buchowski, Washington University, St. Louis, MO; Michael Wang, Jackson Memorial Hospital, University of Miami, Miami, FL; Laurent Balabaud and Christian Mazel, L'Institut Mutualiste Montsouris, Paris, France; Cody Bunger, University Hospital of Aarhus, Aarhus, Denmark; Chung Kee Chung, Seoul National University; Eun Sang Kim and Chong-Suh Lee, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea; Bart Depreitere, University Hospital Leuven, Leuven, Belgium; Michael George Fehlings and Eric Maurice Massicotte, Toronto Western Hospital, Toronto, ON, Canada; Norio Kawahara, Kanazawa Medical University Hospital; Katsuro Tomita, Kanazawa University, Kanazawa; Yasuaki Tokuhashi, Nihon University School of Medicine, Tokyo, Japan; Zhongjun Liu, Peking University Hospital, Beijing, People's Republic of China; Antonio Martin-Benlloch, Hospital Universitario Dr Peset, Valencia, Spain; and Bernhard Meyer, Technical University of Munich, Munich, Germany.
Christian UlbrichtJorrit-Jan Verlaan, Anne Versteeg, and F. Cumhur Oner, University Medical Center Utrecht, Utrecht; Mark Arts, Medical Center Haaglanden, The Hague; Maarten Hubert Coppes, University Medical Center Groningen, Groningen; Wilco Peul, Leiden University Medical Centre, Leiden, the Netherlands; David Choi and Hugh Alan Crockard, The National Hospital for Neurology and Neurosurgery, University College London; Christian Ulbricht, Charing Cross Hospital, London; Yee Leung, Musgrove Park Hospital, Taunton; Nasir A. Quraishi, Queens Medical Centre, Nottingham, United Kingdom; Todd Albert and James Harrop, Thomas Jefferson University and Hospitals, Philadelphia, PA; Jacob Maciej Buchowski, Washington University, St. Louis, MO; Michael Wang, Jackson Memorial Hospital, University of Miami, Miami, FL; Laurent Balabaud and Christian Mazel, L'Institut Mutualiste Montsouris, Paris, France; Cody Bunger, University Hospital of Aarhus, Aarhus, Denmark; Chung Kee Chung, Seoul National University; Eun Sang Kim and Chong-Suh Lee, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea; Bart Depreitere, University Hospital Leuven, Leuven, Belgium; Michael George Fehlings and Eric Maurice Massicotte, Toronto Western Hospital, Toronto, ON, Canada; Norio Kawahara, Kanazawa Medical University Hospital; Katsuro Tomita, Kanazawa University, Kanazawa; Yasuaki Tokuhashi, Nihon University School of Medicine, Tokyo, Japan; Zhongjun Liu, Peking University Hospital, Beijing, People's Republic of China; Antonio Martin-Benlloch, Hospital Universitario Dr Peset, Valencia, Spain; and Bernhard Meyer, Technical University of Munich, Munich, Germany.
Michael WangJorrit-Jan Verlaan, Anne Versteeg, and F. Cumhur Oner, University Medical Center Utrecht, Utrecht; Mark Arts, Medical Center Haaglanden, The Hague; Maarten Hubert Coppes, University Medical Center Groningen, Groningen; Wilco Peul, Leiden University Medical Centre, Leiden, the Netherlands; David Choi and Hugh Alan Crockard, The National Hospital for Neurology and Neurosurgery, University College London; Christian Ulbricht, Charing Cross Hospital, London; Yee Leung, Musgrove Park Hospital, Taunton; Nasir A. Quraishi, Queens Medical Centre, Nottingham, United Kingdom; Todd Albert and James Harrop, Thomas Jefferson University and Hospitals, Philadelphia, PA; Jacob Maciej Buchowski, Washington University, St. Louis, MO; Michael Wang, Jackson Memorial Hospital, University of Miami, Miami, FL; Laurent Balabaud and Christian Mazel, L'Institut Mutualiste Montsouris, Paris, France; Cody Bunger, University Hospital of Aarhus, Aarhus, Denmark; Chung Kee Chung, Seoul National University; Eun Sang Kim and Chong-Suh Lee, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea; Bart Depreitere, University Hospital Leuven, Leuven, Belgium; Michael George Fehlings and Eric Maurice Massicotte, Toronto Western Hospital, Toronto, ON, Canada; Norio Kawahara, Kanazawa Medical University Hospital; Katsuro Tomita, Kanazawa University, Kanazawa; Yasuaki Tokuhashi, Nihon University School of Medicine, Tokyo, Japan; Zhongjun Liu, Peking University Hospital, Beijing, People's Republic of China; Antonio Martin-Benlloch, Hospital Universitario Dr Peset, Valencia, Spain; and Bernhard Meyer, Technical University of Munich, Munich, Germany.
F Cumhur OnerJorrit-Jan Verlaan, Anne Versteeg, and F. Cumhur Oner, University Medical Center Utrecht, Utrecht; Mark Arts, Medical Center Haaglanden, The Hague; Maarten Hubert Coppes, University Medical Center Groningen, Groningen; Wilco Peul, Leiden University Medical Centre, Leiden, the Netherlands; David Choi and Hugh Alan Crockard, The National Hospital for Neurology and Neurosurgery, University College London; Christian Ulbricht, Charing Cross Hospital, London; Yee Leung, Musgrove Park Hospital, Taunton; Nasir A. Quraishi, Queens Medical Centre, Nottingham, United Kingdom; Todd Albert and James Harrop, Thomas Jefferson University and Hospitals, Philadelphia, PA; Jacob Maciej Buchowski, Washington University, St. Louis, MO; Michael Wang, Jackson Memorial Hospital, University of Miami, Miami, FL; Laurent Balabaud and Christian Mazel, L'Institut Mutualiste Montsouris, Paris, France; Cody Bunger, University Hospital of Aarhus, Aarhus, Denmark; Chung Kee Chung, Seoul National University; Eun Sang Kim and Chong-Suh Lee, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea; Bart Depreitere, University Hospital Leuven, Leuven, Belgium; Michael George Fehlings and Eric Maurice Massicotte, Toronto Western Hospital, Toronto, ON, Canada; Norio Kawahara, Kanazawa Medical University Hospital; Katsuro Tomita, Kanazawa University, Kanazawa; Yasuaki Tokuhashi, Nihon University School of Medicine, Tokyo, Japan; Zhongjun Liu, Peking University Hospital, Beijing, People's Republic of China; Antonio Martin-Benlloch, Hospital Universitario Dr Peset, Valencia, Spain; and Bernhard Meyer, Technical University of Munich, Munich, Germany.
University Medical Center Groningen · NL
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSurvival after metastatic cancer has improved at the cost of increased presentation with metastatic spinal disease. For patients with pathologic spinal fractures and/or spinal cord compression, surgical intervention may relieve pain and improve quality of life. Surgery is generally considered to be inappropriate if anticipated survival is < 3 months. The aim of this international multicenter study was to analyze data from patients who died within 3 months or 2 years after surgery, to identify preoperative factors associated with poor or good survival, and to avoid inappropriate selection of patients for surgery in the future. PATIENTS AND
methodsA total of 1,266 patients underwent surgery for impending pathologic fractures and/or neurologic deficits and were prospectively observed. Data collected included tumor characteristics, preoperative fitness (American Society of Anesthesiologists advisory [ASA]), neurologic status (Frankel scale), performance (Karnofsky performance score [KPS]), and quality of life (EuroQol five-dimensions questionnaire [EQ-5D]). Outcomes were survival at 3 months and 2 years postsurgery. Univariable and multivariable logistic regression analyses were used to find preoperative factors associated with short-term and long-term survival.
resultsIn univariable analysis, age, emergency surgery, KPS, EQ-5D, ASA, Frankel, and Tokuhashi/Tomita scores were significantly associated with short survival. In multivariable analysis, KPS and age were significantly associated with short survival (odds ratio [OR], 1.36; 95% CI, 1.15 to 1.62; and OR, 1.14; 95% CI, 1.02 to 1.27, respectively). Associated with longer survival in univariable analysis were age, number of levels included in surgery, KPS, EQ-5D, Frankel, and Tokuhashi/Tomita scores. In multivariable analysis, the number of levels included in surgery (OR, 1.21; 95% CI, 1.06 to 1.38) and primary tumor type were significantly associated with longer survival.
conclusionPoor performance status at presentation is the strongest indicator of poor short-term survival, whereas low disease load and favorable tumor histology are associated with longer-term survival.
Indexed as
FemaleHumansLongitudinal StudiesMaleMiddle AgedPatient SelectionProspective StudiesSpinal NeoplasmsTumor Burden
Identifiers
What OpenQuestion holds
Textmetadata
Read underepoch 390
Registered trials
None linked
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.