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01-04-2018 | Original Article

Surgical complications of extraspinal tumors in the cervical spine: a report of 110 cases and literature review

Authors: WenHua Yang, Liang Jiang, XiaoGuang Liu, Feng Wei, Miao Yu, FengLiang Wu, Lei Dang, Hua Zhou, Hua Zhang, ZhongJun Liu

Published in: European Spine Journal | Issue 4/2018

Abstract

Purpose

To assess the safety of surgical intervention for extraspinal tumors in the cervical spine.

Methods

110 consecutive patients were enrolled and followed-up at least 12 months or until death. The complication rates and risk factors were documented and analyzed.

Results

The quality of life in the surviving patients was significantly improved. The overall local recurrence rate was 17.3%. Twenty percent of patients developed distant metastasis. The perioperative mortality rate (30 days after surgery) was 0.9%. The complication related mortality was 1.8%. The rates of overall complication and major complication were 41.8% and 20.9%, respectively. The independent predictors for overall complications were Karnofsky score <60, multisegmental resection, and operation time >3 h. The independent predictors of major complications were comorbidity, tumor location at C1–C2, and combined approach.

Conclusions

Surgery for cervical spine tumor could improve the quality of life, though it might be accompanied with high morbidity and mortality. It is a highly demanding procedure; however, it can be performed to an acceptable degree of safety.

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Title: Surgical complications of extraspinal tumors in the cervical spine: a report of 110 cases and literature review
Authors: WenHua Yang
Liang Jiang
XiaoGuang Liu
Feng Wei
Miao Yu
FengLiang Wu
Lei Dang
Hua Zhou
Hua Zhang
ZhongJun Liu
Publication date: 01-04-2018
Publisher: Springer Berlin Heidelberg
Published in: European Spine Journal / Issue 4/2018
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-017-5259-4

ACC 2024 Congress

Springer Medicine

Surgical complications of extraspinal tumors in the cervical spine: a report of 110 cases and literature review

Abstract

Purpose

Methods

Results

Conclusions

ACC 2024 Congress

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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