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Revista Cubana de Ortopedia y Traumatología

versión impresa ISSN 0864-215Xversión On-line ISSN 1561-3100


MAURI PEREZ, Orestes et al. Surgical Treatment for Epidural Spine Metastasis. Rev Cubana Ortop Traumatol [online]. 2021, vol.35, n.1, e378.  Epub 01-Jun-2021. ISSN 0864-215X.


Metastatic tumors are the most frequent in the spine.


To evaluate surgical results in patients with epidural spine metastatic tumors, according to pain before and after surgery, their neurological status, and disability index.


This is a retrospective longitudinal descriptive study in a sample of 34 patients older than 20 years- longitudinal descriptive study in a sample of 34 patients aged 20 or over from a universe made up of 62 patients. They had spinal metastases, they were treated at Hermanos Ameijeiras hospital from January 2016 to March 2018. They underwent surgery with a decompression technique by corpectomy and spinal fixation. Pain intensity was verified using Denis scale; neurological status using Frankel scale and the percentage of disability using Oswestry scale. Statistical significance tests were applied. The investigation complied with the principles of Declaration of Helsinki.


Patients aged 40 to 59 years (64.7%) and male (67.6%) predominated. The most frequent primary tumor was hematopoietic (41.2%), with involvement of the thoracic segment (57.9%). The Cuban technique was the most used (44.1%). During the preoperative period, the majority were in Denis III, with Frankel D and 66.2% were disabled. At the postoperative evaluation, the majority were in Denis between 0 and 1, Frankel E with preservation of neurological status and 31.4% of disability (p= 0.000).


Surgical treatment of patients with vertebral metastases by means of instrumentation and decompression has clinical benefits, above all, the improvement of pain and neurological function.

Palabras clave : spinal tumors; metastasis; surgical treatment.

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