Evidence map›Paper›PMID 40234945›Full record

ArticleJournal of orthopaedic surgery and research2025

Comparison of outcomes between total en bloc spondylectomy and palliative spinal surgery in metastatic spinal tumor patients: propensity score matching analysis.

Danaya Yodsuwan, Permsak Paholpak, Taweechok Wisanuyotin, Winai Sirichativapee, Wilasinee Sirichativapee, Weerachai Kosuwon, Tadatsugu Morimoto, Yuichi Kasai, Hideki Murakami

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Posterior-only totalSurgical neurology international · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Danaya YodsuwanDepartment of Orthopaedics, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand.
Permsak PaholpakDepartment of Orthopaedics, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand. permpa@kku.ac.th.
Taweechok WisanuyotinDepartment of Orthopaedics, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand.
Winai SirichativapeeDepartment of Orthopaedics, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand.
Wilasinee SirichativapeeDepartment of Orthopaedics, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand.
Weerachai KosuwonDepartment of Orthopaedics, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand.
Tadatsugu MorimotoDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences, Saga University, Saga, Japan.
Yuichi KasaiDepartment of Orthopaedics, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand.
Hideki MurakamiDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences, Nagoya City University, Nagoya, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTotal en bloc spondylectomy (TES) was considered aggressive spinal surgery aim to achieved marginal and wide surgical margin in spinal tumor treatment. However, there was limited comparison information between TES and other palliative spinal surgery treatments. This study aimed to report the comparison between TES and Palliative Spinal Surgery (PSS) in terms of clinical and oncologic outcomes.

methodsA retrospective cohort study was conducted. The medical records of Spinal Metastasis (SM) treated by a single surgeon were reviewed between January 2014 and December 2020. The propensity score matching was calculated. survivorship, local recurrence, surgical complications, operative blood loss, and time between TES and PSS were reviewed and analyzed.

resultsA total of 44 patients with a mean age of 56 were included. Twenty-two TES and 22 PSS patients were recruited into the study-no significant difference in demographics data. The TES showed significantly better survival at 6 (p = 0.010) and 12 months (p = 0.020). The local recurrence in the TES group was 4.6% (1 of 22). However, TES showed significantly longer operative time (6 h (5.5-6.5) and 3 h (2.0-3.5), p-value < 0.001) and more intraoperative blood loss (1150 mL (1000-1800) and 575 mL (350-800), p-value = 0.0002).

conclusionsTES showed better survivorship after 6 and 12 months than PSS. The TES also achieved favorable local control of tumors after surgery. Further randomized control of more patients should be conducted to clarify the benefits of TES vis-à-vis metastasis.

Indexed as

Palliative CarePropensity ScoreSpinal NeoplasmsAdultAgedBlood Loss, SurgicalCohort StudiesFemaleHumansMaleMiddle AgedNeoplasm Recurrence, LocalOperative TimeRetrospective StudiesTreatment OutcomeMetastatic spinal tumorOncologic outcomesPalliative surgerySurvival analysisTotal En bloc Spondylectomy

Identifiers

PMID40234945
PMCPMC11998423

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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.