Spine metastastic injuries in patients with cancer in Cartagena
DOI:
https://doi.org/10.1016/j.rccot.2020.06.011Keywords:
metastasis, spine, neoplasms of the spineAbstract
Background: spinal metastases are a frequent entity in cancer patients. With the increase of the life expectancy in the general population and also the increase in the survival of the patient with cancer, the appearance of spinal metastasis is more probable. Regional knowledge of the characteristics of spinal metastasis provides important information that guides the diagnosis and treatment of affected patients. The aim of the story is to determine the characteristics of spinal metastasis in patients with cancer in the city of Cartagena, Colombia.
Methods: a descriptive study was conducted reviewing the clinical histories of adult patients with spinal metastasis, in four health institutions of the city between 2015 and 2017 with availability of images and diagnostic biopsy. Sociodemographic characteristics, segment of the affected column, anatomical region of the affected vertebra, prognosis by scales of Tomita and Tokuhashi, the frequency of appropriate behavior according to the prognosis were investigated. The analysis was carried out using absolute and relative frequencies; furthermore, characterization of the vertebral metastasis was carried out stratifying by organ affected by the primary tumor.
Results: We analyzed 27 medical records that showed a median age in the patients of 56 years. The primary tumor most frequently was the lung with 33.3%. The segment of the most affected column was the thoracolumbar with 63%. The most affected vertebral anatomical site was the body with 92.6%. The neurological compromise was presented in 77.8%.
Discussion: Metastatic spinal lesions in our population are being diagnosed late.
Evidence Level: IV
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