Zusammenfassung
Fortschritte in Diagnostik und Therapie haben zu einer Verbesserung der Überlebenszeit bei verschiedenen Tumorentitäten geführt. Dies und die demographische Entwicklung führen zu einer Zunahme von Metastasen, auch an der Wirbelsäule. In der Vergangenheit konnte eine Reihe von Prognosefaktoren identifiziert werden, die orientierende Aussagen über die zu erwartende Lebenszeit von Patienten mit Wirbelsäulenmetastasen erlauben. Auf dieser Grundlage wurden verschiedene Scores implementiert, welche verwendet werden, um im individuellen Fall Entscheidungen über Sinn und Ausmaß operativer Maßnahmen bei Wirbelsäulenmetastasen treffen zu können. In der vorgestellten Arbeit wird eine Übersicht über die Prognosefaktoren sowie die verwendeten Scores bei Wirbelsäulenmetastasen gegeben.
Abstract
Advances in early detection and therapy of spinal metastasis have improved life expectancy of patients with various tumor entities. However, this and the demographic development have led to an increased risk for developing spinal metastases. Numerous prognostic factors have been determined to allow an assessment of outcome and survival time of patients with metastatic spinal tumors. The implementation of these factors into different scoring systems has been encouraging in the decision making process of spinal surgery. This overview highlights some of the most important prognostic factors and scores which may facilitate surgical considerations.
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Interessenkonflikt. Der korrespondierende Autor N. von der Höh gibt für sich und seine Koautoren J. Gulow, S.K. Tschöke, A. Völker, C.E. Heyde an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.
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von der Höh, N., Gulow, J., Tschöke, S. et al. Prognostische Scores bei Wirbelsäulenmetastasen. Orthopäde 42, 725–733 (2013). https://doi.org/10.1007/s00132-013-2067-3
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DOI: https://doi.org/10.1007/s00132-013-2067-3