More help than harm: surgery for metastatic spinal cord compression is associated with more favorable overall survival within a propensity score analysis

[摘要] Purpose Indication for surgical decompression in metastatic spinal cord compression (MSCC) is often based on prognostic scores such as the modified Bauer score (mBs), with favorable prognosis suggestive of surgery and poor prognosis of non-surgical management. This study aimed to clarify if (1) surgery may directly affect overall survival (OS) aside from short-term neurologic outcome, (2) explore whether selected patient subgroups with poor mBs might still benefit from surgery, and (3) gauge putative adverse effects of surgery on short-term oncologic outcomes.

[学科分类] 骨科学

[关键词] Spinal metastasis;Spinal surgery;Survival;Progression;Neurologic function