Surgery and Prognostic Factors of Patients With Epidural Spinal Cord Compression Caused by Hepatocellular Carcinoma Metastases

• DOI: 10.1097/brs.0b013e3182983bf8
• Publication Date: 2013-04-30T12:30:38Z
• Authors: Dan Zhang; Wei Xu; Tielong Liu; Huabin Yin; Xinghai Yang; Zhipeng Wu; Jianru Xiao
• Keywords: Spinal cord compression; Univariate analysis

A retrospective study of 36 patients with metastatic hepatocellular carcinoma (HCC) the mobile spine was performed by survival analysis.To discuss factors that may affect outcomes HCC spinal metastases.HCC is a rare tumor in Western countries. However, common Far East (Taiwan, Korea, mainland China), where hepatitis B virus epidemic. As mean time has largely increased recent years, it now more to encounter patient epidural cord compression caused metastases clinic.The univariate and multivariate analyses various clinical were identify independent variables could predict prognosis. The rate estimated Kaplan-Meier method, differences analyzed log-rank test. Factors P values 0.1 or less subjected analysis for Cox proportional hazards analysis.A total included study. Age (≤45 yr/>45 yr), duration preoperative symptoms (<6 mo/≥6 mo), Frankel score (A-C/D-E), Tomita (5-7/8-10), bisphosphonate treatment suggested as potential prognostic through analysis. they submitted regression model, only found an factor.Tomita no than 7 favorable factor spine.4.