Predictive Nomogram for Evaluating Survival in Patients with Spinal Metastases

DOI: https://doi.org/10.15417/issn.1852-7434.2021.86.1.1150
Keywords: Spinal metastases, survival, spine surgery

Abstract

Introduction: The decision of a surgical procedure and the surgical strategy are based on the life expectancies of the patients. The systems differ greatly in the parameters evaluated and in the result of the total score. Therefore, for the same patient, different survival periods can be calculated and contradictory treatment strategies suggested. Objective: To evaluate patients with spinal metastases who underwent surgery, evaluating survival according to the SORG (Skeletal Oncology Research Group) Nomogram. Materiales and Methods: Retrospective study, March 2017 to March 2019. 20 patients. Inclusion criteria: spinal metastases, with or without spinal compression. Evaluation parameters: the SORG Nomogram with probability of survival, at 30, 90 and 365 days, in the preoperative phase and the remote evaluation: survival to March 2020. Results: 14 women and 6 men, average age: 67.9 years. Follow-up 6 to 36 months. Average final score: 222.4 points, which would be equivalent to a survival of 99% after a month, 78% after 3 months and 50% after a year. Conclusion: In cancer patients with spinal metastases, the SORG nomogram would be useful to predict survival, especially at one year.Level of Evidence: IV

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Author Biographies

Juan Gottlieb, Orthopedics and Traumatology Service, Spine Unit, Hospital Sirio Libanés, ECICARO, Ciudad Autónoma de Buenos Aires, Argentina
Juan Gottlieb, MD. Orthopedics and Traumatology Service, Spine Unit, Hospital Sirio Libanés, ECICARO, Ciudad Autónoma de Buenos Aires, Argentina
Horacio Resano, Orthopedics and Traumatology Service, Spine Unit, Hospital Sirio Libanés, ECICARO, Ciudad Autónoma de Buenos Aires, Argentina
Horacio Resano, MD. Orthopedics and Traumatology Service, Spine Unit, Hospital Sirio Libanés, ECICARO, Ciudad Autónoma de Buenos Aires, Argentina
Ignacio García, Orthopedics and Traumatology Service, Spine Unit, Hospital Sirio Libanés, ECICARO, Ciudad Autónoma de Buenos Aires, Argentina
Ignacio García, MD. Orthopedics and Traumatology Service, Spine Unit, Hospital Sirio Libanés, ECICARO, Ciudad Autónoma de Buenos Aires, Argentina
Claudio Bulos, Orthopedics and Traumatology Service, Sanatorio Franchin, Ciudad Autónoma de Buenos Aires, Argentina
Claudio Bulos, MD. Orthopedics and Traumatology Service, Sanatorio Franchin, Ciudad Autónoma de Buenos Aires, Argentina

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Published
2021-02-11
How to Cite
Gottlieb, J., Resano, H., García, I., & Bulos, C. (2021). Predictive Nomogram for Evaluating Survival in Patients with Spinal Metastases. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 86(1), 77-82. https://doi.org/10.15417/issn.1852-7434.2021.86.1.1150
Issue
Vol 86 No 1 (2021)
Section
Clinical Research
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