Observational studyWorld neurosurgery2018
Minimal Access Surgery for Spinal Metastases: Prospective Evaluation of a Treatment Algorithm Using Patient-Reported Outcomes.
Observational study in World neurosurgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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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
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The role of minimally invasive surgery within a multidisciplinary approach for patients with metastatic spine disease over a decade: A systematic review.Neuro-oncology · 2024Pooled it
- Research on the predicting power of the revised Tokuhashi system: how much time can surgery give to patients with short life expectancy?International journal of clinical oncology · 2020Trial
- Surgery of the tumors of the spine.EFORT open reviews · 2026Article
- The transformative role of SBRT in the management of spinal metastases.Nature reviews. Clinical oncology · 2026Review
- Advances in Metastatic Disease Spinal Oncology: Novel Technology Without Forgetting the Fundamentals of Surgical Treatment.Neurospine · 2025Article
- Integrated management of metastatic spinal tumors: current status and future directions.Medical oncology (Northwood, London, England) · 2025Review
- Can we predict neurological complications in patients with metastatic spinal tumors?Frontiers in oncology · 2025Article
- Review
- Management of Spinal Metastasis by Minimally Invasive Surgical Techniques: Surgical Principles and Indications-A Literature Review.Journal of clinical medicine · 2023Review
- Surgery for Metastatic Spinal Disease in Octogenarians and Above: Analysis of 78 Patients.Global spine journal · 2023Article
- Sublaminar bands in oncological spine surgery: illustrative cases.Journal of neurosurgery. Case lessons · 2021Article
- Treatment of cervical spine metastasis with minimally invasive cervical spondylectomy: A case report and literature review.World journal of clinical cases · 2021Article
- Long-term outcome after combined kyphoplasty and intraoperative radiotherapy (Kypho-IORT) for vertebral tumors.Radiation oncology (London, England) · 2020Article
- Minimally Invasive Spine Surgery: Techniques, Technologies, and Indications.Asian spine journal · 2020Article
- The Role of Minimal Access Surgery in the Treatment of Spinal Metastatic Tumors.Global spine journal · 2020Article
- Minimally Invasive Surgery Strategies: Changing the Treatment of Spine Tumors.Neurosurgery clinics of North America · 2020Review
- Transpedicular 3D endoscope-assisted thoracic corpectomy for separation surgery in spinal metastases: feasibility of the technique and preliminary results of a promising experience.Neurosurgical review · 2020Article
- Current state of minimally invasive spine surgery.Journal of spine surgery (Hong Kong) · 2019Review
- Essential Concepts for the Management of Metastatic Spine Disease: What the Surgeon Should Know and Practice.Global spine journal · 2019Article
- Application and Development of Minimally Invasive Techniques in the Treatment of Spinal Metastases.Technology in cancer research & treatmentReview
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundMinimal access surgery (MAS) allows for an early return to systemic and radiation therapy in patients with cancer, leading to its increasing usage in the treatment of spinal metastases. Systematic examination of surgical indications resulted in the development of an algorithm for implementation of MAS in the treatment of spinal metastases. The objective of the present study was to evaluate a spine tumor MAS treatment algorithm using patient-reported outcomes for patients with cancer undergoing treatment of spinal metastases.
methodsWe performed a prospective cohort study of patients who had undergone spinal percutaneous instrumented stabilization with the addition of MAS spinal cord or nerve root decompression and/or kyphoplasty when indicated at a tertiary cancer center from December 2013 to August 2016. Validated patient-reported outcome measures, including the Brief Pain Inventory and the MD Anderson Symptom Inventory-spine module, were used. The patient-reported outcome measures were collected and compared at baseline, 3 months, and long-term follow-up (range, 4.5-12 months).
resultsA total of 51 patients were included. MAS resulted in a statistically significant decrease in the severity of pain and improved activity, ability to work, and enjoyment of life (P < 0.001). The improvement was reported at the short- and long-term follow-up points.
conclusionsWe present our treatment algorithm for MAS implementation in the treatment of thoracolumbar spinal metastases. Prospectively collected data have demonstrated that using this algorithm, MAS surgery for the treatment of spinal metastases results in significant decreases in pain severity and symptom interference with daily activities.
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