Application of the NSE score (Neurology-Stability-Epidural compression assessment) to establish the need for surgery in spinal metastases of elderly patients: a multicenter investigation

Purpose This retropective multicentric study aims to investigate the clinical applicability of the NSE score in the elderly, to verify the role of this tool as an easy help for decision making also for this class of patients. Methods All elderly patients (> 65 years) suffering from spinal metasta...

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Published in:European spine journal 2024-11, Vol.33 (11), p.4302-4315
Main Authors: Di Perna, Giuseppe, Baldassarre, Bianca, Armocida, Daniele, De Marco, Raffaele, Pesaresi, Alessandro, Badellino, Serena, Bozzaro, Marco, Petrone, Salvatore, Buffoni, Lucio, Sonetto, Cristina, De Luca, Emmanuele, Ottaviani, Davide, Tartara, Fulvio, Zenga, Francesco, Ajello, Marco, Marengo, Nicola, Lanotte, Michele, Altieri, Roberto, Certo, Francesco, Pesce, Alessandro, Pompucci, Angelo, Frati, Alessandro, Ricardi, Umberto, Barbagallo, Giuseppe Maria, Garbossa, Diego, Cofano, Fabio
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Agreements
Decision making
Female
Humans
Male
Medicine
Medicine & Public Health
Metastases
Metastasis
Neurosurgery
Original Article
Patients
Retrospective Studies
Spinal Cord Compression - etiology
Spinal Cord Compression - surgery
Spinal Neoplasms - secondary
Spinal Neoplasms - surgery
Statistical analysis
Surgery
Surgical Orthopedics
Citations: Items that this one cites
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Summary:Purpose This retropective multicentric study aims to investigate the clinical applicability of the NSE score in the elderly, to verify the role of this tool as an easy help for decision making also for this class of patients. Methods All elderly patients (> 65 years) suffering from spinal metastases undergoing surgical or non-surgical treatment at the authors’ Institutions between 2015 and 2022 were recruited. An agreement group (AG) and non-agreement group (NAG) were identified accordingly to the agreement between the NSE score indication and the performed treatment. Neurological status and axial pain were evaluated for both groups at follow-up (3 and 6 months). The same analysis was conducted specifically grouping patients older than 75 years. Results A strong association with improvement or preservation of clinical status ( p  
ISSN:0940-6719
1432-0932
1432-0932
DOI:10.1007/s00586-024-08328-0