Short-term outcomes after spinal surgery for metastatic breast cancer: A single-center analysis

Advances in detection and breast cancer treatment lead to higher survival rates, with more patients living with spine metastases. Those surgeries are palliative; however, they can improve the quality of life (QOL). The aim of this study is to report pain and neurological function outcomes after surg...

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Bibliographic Details
Published in:Journal of craniovertebral junction and spine 2024-07, Vol.15 (3), p.284-289
Main Authors: Gomes, Nicole Iafigliola, de Almeida, Rômulo Augusto Andrade, Joaquim, Andrei Fernandes
Format: Article
Language:English
Subjects:
Back surgery
Bone cancer
Breast cancer
Care and treatment
Complications and side effects
Development and progression
Diagnosis
Metastasis
Original
Pain
Patient outcomes
Risk factors
Spine
spine surgery
Surgery
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Summary:Advances in detection and breast cancer treatment lead to higher survival rates, with more patients living with spine metastases. Those surgeries are palliative; however, they can improve the quality of life (QOL). The aim of this study is to report pain and neurological function outcomes after surgery for spinal metastatic disease of breast cancer patients of a single institution. Complications were recorded. A retrospective, single-center, single-arm study was performed. Consecutive patients who underwent spinal surgery were included. We analyzed demographic, surgical, histopathological, and clinical data. Seventeen women were included. Three patients (17.6%) did not present pre- and postoperative pain (n = 3), 6 (35.3%) had pain in both situations, and 8 (47.1%) were pain-free postoperatively (P = 0.013). Ten (58.8%) patients had preoperative deficits: 3 (30%) did not improve and 7 (70%) improved after surgery. Six cases (35.2%) did not present preoperative deficits and did not get worse (n = 6). The Frankel classification after the following time showed that 11 patients (64.7%) remained stable after surgery and 5 patients (29.4%) got better. A single patient (5.6%) had deterioration of strength. Two patients (11.7%) had intraoperative complications. Pain was significantly improved by surgery, with also a possibly positive effect on functionality. Considering the low complication rates, surgery is still a useful tool in the management of spinal metastases in breast cancer patients and may be related to better QOL.
ISSN:0974-8237
0976-9285
DOI:10.4103/jcvjs.jcvjs_59_24