Metastatic Spinal Tumor Patients Need Good Preoperative Nutrition to Lower Complications
Nov 21, 2024
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A research team led by Professor Kim Young-hoon of Orthopaedic Surgery at Catholic University of Korea's Seoul St. Mary's Hospital recently evaluated the postoperative walking function and prognosis of 75 patients with metastatic spinal cancer who underwent surgery for neurological symptoms.
Existing studies tend to simplify the outcome of metastatic spinal cancer surgery, such as judging whether it is walking or not, and the study was conducted to confirm whether nutritional factors, which are considered important in preventing degenerative spinal surgery complications, are also correlated with the prognosis of metastatic spinal cancer surgery.
As a result of applying the complication classification system of orthopedic surgery and multivariate analysis, the improvement of walking function was significantly associated with the preoperative iliopsoas muscle index (PMI), and the occurrence of postoperative complications was significantly associated with preoperative nutritional status. The iliopsoas muscle index is an evaluation that objectively measures the decrease in muscle mass through imaging, and sarcopenia in cancer patients is known to be bad for the prognosis after surgery.
As the survival rate of cancer patients has increased due to the recent development of cancer treatment technology, research to improve the quality of life after cancer treatment is also being actively conducted. 70% of cancer patients experience spinal metastasis, and in the past, they thought that spinal metastasis cancer was terminal and often gave up treatment even in severe pain. However, active treatment is considered because treatment technologies such as the introduction of effective targeted anticancer drugs have developed, and if spinal metastatic cancer progresses, it becomes difficult for patients to move and leads to a decrease in survival rates.
The first author of the audience predicted that `If the study maintains good nutrition before surgery and keeps the strength around the spine well preserved, patients undergoing metastatic spinal cancer surgery can ultimately achieve the goal of improving quality of life through the potential of postoperative nerve recovery as well as safe surgery.'
Professor Kim Young-hoon, a corresponding author, expected that `It is not easy whether or not to treat spinal metastasis cancer by surgery because the type of primary cancer and the general condition of each patient are different. If this study accurately identifies patients with high postoperative complications, the risk of surgery can be minimized.'
The results of this study were recently published in the international journal 「Actaneurochirurgica」.
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