Complications associated to wound drainages in tumor spine surgery: a multicenter surveillance study from the German Spine Registry (DWG-Register)

Walter, Sebastian; Lenz, Maximilian; Gaisendrees, Christopher; Schlachtenberger, Georg; Sircar, Krishnan; Knöll, Peter; Zarghooni, Kourosh

doi:10.1038/s41598-022-23579-x

Cited by 4 publications

(2 citation statements)

References 12 publications

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“…Patients undergoing this kind of treatment are highly vulnerable and at high risk of a plethora of medical problems. In fact, complication rates are reported to be as high as 47% [19][20][21][22][23]. Therefore, decision making on which patients to operate on is essential to ensure that patients benefit from surgery [24].…”

Section: Discussionmentioning

confidence: 99%

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Local Recurrence and Development of Spinal Cord Syndrome during Follow-Up after Surgical Treatment of Metastatic Spine Disease

Knöll,

Lenschow,

Lenz

et al. 2023

Cancers

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Background: Surgical decompression (SD), with or without posterior stabilization followed by radiotherapy, is an established treatment for patients with metastatic spinal disease with epidural spinal cord compression (ESCC). This study aims to identify risk factors for occurrence of neurological compromise resulting from local recurrence. Methods: All patients who received surgical treatment for metastatic spinal disease at our center between 2011 and 2022 were included in this study. Cases were evaluated for tumor entity, surgical technique for decompression (decompression, hemilaminectomy, laminectomy, corpectomy) neurological deficits, grade of ESCC, time interval to radiotherapy, and perioperative complications. Results: A total of 747 patients were included in the final analysis, with a follow-up of 296.8 days (95% CI (263.5, 330.1)). During the follow-up period, 7.5% of the patients developed spinal cord/cauda syndrome (SCS). Multivariate analysis revealed prolonged time (>35 d) to radiation therapy as a solitary risk factor (p < 0.001) for occurrence of SCS during follow-up. Conclusion: Surgical treatment of spinal metastatic disease improves patients’ quality of life and Frankel grade, but radiation therapy needs to be scheduled within a time frame of a few weeks in order to reduce the risk of tumor-induced neurological compromise.

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Section: Discussionmentioning

confidence: 99%

“…Spinal metastases are a frequent diagnosis in about 15% of patients treated for an oncologic disease, and most likely this incidence is systematically underestimated [1][2][3]. In general and most cases, progression of spinal metastases is asymptomatic until the terminal phase.…”

Section: Introductionmentioning

confidence: 99%

Local Recurrence and Development of Spinal Cord Syndrome during Follow-Up after Surgical Treatment of Metastatic Spine Disease

Knöll,

Lenschow,

Lenz

et al. 2023

Cancers

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Predictors for quality of life, pain and functional outcomes after surgical treatment of metastatic disease in the spine

Walter,

Hockmann,

Weber

et al. 2024

Surgical Oncology

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Epidemiology of Surgically Treated Spinal Tumors: A Multicenter Surveillance Study of 9686 Patients from the German Spine Registry (DWG Register)

et al. 2023

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Tumors of the spine are challenging in terms of diagnoses and interdisciplinary treatment. This study was conducted to evaluate and characterize a large multicenter cohort of surgically treated spine tumor patients.Data of the German Spine Society (DWG) were used to characterize a cohort of all surgically treated spine tumor cases that were registered between 2017 and 2021. Subgroup analysis was performed for tumor entity, tumor localization, height of most severely affected segments, surgical treatment, and demographic parameters.In total, there were 9686 cases, of which 6747 were “malignant”, 1942 were “primary benign”, 180 were “tumor-like lesions”, and 488 were “other” spinal tumors. Subgroups showed differences in number of affected segments as well as localization. There were further significant differences in surgical complication rates (p = 0.003), age (p < 0.001), morbidity (p < 0.001), and duration of surgery (p = 0.004).This is a representative study on spinal tumors from a large spine registry and allows for the epidemiological characterization of surgically treated tumor subgroups and quality control of registry data.

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Complications associated to wound drainages in tumor spine surgery: a multicenter surveillance study from the German Spine Registry (DWG-Register)

Cited by 4 publications

References 12 publications

Local Recurrence and Development of Spinal Cord Syndrome during Follow-Up after Surgical Treatment of Metastatic Spine Disease

Local Recurrence and Development of Spinal Cord Syndrome during Follow-Up after Surgical Treatment of Metastatic Spine Disease

Predictors for quality of life, pain and functional outcomes after surgical treatment of metastatic disease in the spine

Epidemiology of Surgically Treated Spinal Tumors: A Multicenter Surveillance Study of 9686 Patients from the German Spine Registry (DWG Register)

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