MIS for Spine Metastases

ID Number 11-1516

Principal Investigator(s)
Arthur L Jenkins, III

Department(s) or Division(s)
Neurosurgery

Description

This is a retrospective chart review designed to analyze the impact that minimally invasive spine tumor decompression has upon quality of life neurologic morbidity pain and mortality. We intend to compare our findings to historical controls to determine whether the minimally invasive approach offers better outcomes. Treatment options for spinal metastases include surgical resection chemotherapy and radiotherapy. The exact combination of treatment options depends on the inherent nature of the neoplasm and its susceptibility to the respective treatment modality implemented. Historically spinal cord compression from metastatic tumor was treated with simple laminectomy and decompression. As radiation became available radiotherapy was implemented. Early retrospective studies showed no significant difference between radiation and laminectomy plus postoperative radiation. However in a randomized 2005 study Patchell et al demonstrated the superiority of direct surgical decompression followed by radiotherapy compared to radiotherapy alone for patients with spinal cord compression by metastatic epidural tumor. The traditional surgical decompression for these types of cases entails a large extensive opening. Technological advancements in surgical intervention have led to the advent of a smaller more precise intervention referred to as the minimally invasive technique. Theoretical benefits of minimally invasive approaches include better wound healing with smaller incisions and preservation of more normal anatomy reduction of iatrogenic tissue trauma and decreased post operative pain. With these advancements we can possibly deliver not only equal but better care.



Contact Information
Rebecca Apruzzese
(212) 241-8349
rebecca.apruzzese@mountsinai.org

Recruiting Patients: No