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Surgical complications of extraspinal tumors in the cervical spine: a report of 110 cases and literature review

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European Spine Journal Aims and scope Submit manuscript

Abstract

Purpose

To assess the safety of surgical intervention for extraspinal tumors in the cervical spine.

Methods

110 consecutive patients were enrolled and followed-up at least 12 months or until death. The complication rates and risk factors were documented and analyzed.

Results

The quality of life in the surviving patients was significantly improved. The overall local recurrence rate was 17.3%. Twenty percent of patients developed distant metastasis. The perioperative mortality rate (30 days after surgery) was 0.9%. The complication related mortality was 1.8%. The rates of overall complication and major complication were 41.8% and 20.9%, respectively. The independent predictors for overall complications were Karnofsky score <60, multisegmental resection, and operation time >3 h. The independent predictors of major complications were comorbidity, tumor location at C1–C2, and combined approach.

Conclusions

Surgery for cervical spine tumor could improve the quality of life, though it might be accompanied with high morbidity and mortality. It is a highly demanding procedure; however, it can be performed to an acceptable degree of safety.

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Acknowledgements

The authors thank Ms ChenMei Ren for collecting the data.

Author information

Authors and Affiliations

  1. Orthopaedic Department, Peking University Third Hospital, No. 49 North Garden Road, HaiDian District, Beijing, 100191, China

    WenHua Yang, Liang Jiang, XiaoGuang Liu, Feng Wei, Miao Yu, FengLiang Wu, Lei Dang, Hua Zhou & ZhongJun Liu

  2. Emergency Department, Beijing Shijitan Hospital, Capital Medical University, No. 10 TieYi Road, Yangfangdian, HaiDian District, Beijing, 100038, China

    WenHua Yang

  3. Research Center of Clinical Epidemiology, Peking University Third Hospital, No. 49 North Garden Road, HaiDian District, Beijing, 100191, China

    Hua Zhang

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  1. WenHua Yang
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Correspondence to Liang Jiang or ZhongJun Liu.

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Source of funding

The work described here was supported by the Research Grant of Peking University Third Hospital (No. Y71508-01).

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Yang, W., Jiang, L., Liu, X. et al. Surgical complications of extraspinal tumors in the cervical spine: a report of 110 cases and literature review. Eur Spine J 27, 882–890 (2018). https://doi.org/10.1007/s00586-017-5259-4

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  • DOI: https://doi.org/10.1007/s00586-017-5259-4

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