The Role and Clinical Outcomes of Endoscopic Spine Surgery of Treating Spinal Metastases; Outcomes of 29 Cases From 8 Countries
Siravich Suvithayasiri,
Young-Jin Kim,
Yanting Liu,
Warayos Trathitephun,
Akarawit Asawasaksaku,
Javier Quillo-Olvera,
Vit Kotheeranurak,
Haroldo Chagas,
Cristian Correa Valencia,
Marcus Vinicius Serra,
Facundo Van Isseldyk,
Lung-Hsing Lee,
Chien-Min Chen,
Pramod Lokhande,
Sang-Min Park,
Khanathip Jitpakdee,
Kandarpkumar K. Patel,
Jung-Hoon Kim,
Akaworn Mahatthanatrakul,
Panya Luksanapruksa,
Sirichai Wilartratsami,
Jin-Sung Kim
Affiliations
Siravich Suvithayasiri
Department of Neurosurgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
Young-Jin Kim
Department of Neurosurgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
Yanting Liu
Department of Neurosurgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
Warayos Trathitephun
Department of Orthopedics, Chulabhorn Hospital, Chulabhorn Royal Academy, Bangkok, Thailand
Akarawit Asawasaksaku
Spine Clinic, Department of Orthopedics, Ramkhamhaeng Hospital, Bangkok, Thailand
Javier Quillo-Olvera
The Brain and Spine Care, Minimally Invasive Spine Surgery Group, Hospital H+, Queretaro City, Mexico
Vit Kotheeranurak
Department of Orthopaedics, Faculty of Medicine Chulalongkorn University, and King Chulalongkorn Memorial Hospital, Bangkok, Thailand
Haroldo Chagas
Department of Neurosurgery, Hospital Federal da Lagoa, Rio de Janeiro, Brazil
Cristian Correa Valencia
Department of Orthopedic and Traumatology, University of La Frontera, Temuco, Chile
Marcus Vinicius Serra
Santista Institute of Neurosurgery and Spine, Santos – SP, Brazil
Facundo Van Isseldyk
Hospital Privado de Rosario, Rosario, Santa Fe, Argentina
Lung-Hsing Lee
Department of Orthopedics, Taoyuan Armed Forces General Hospital, Taoyuan, Taiwan
Chien-Min Chen
Division of Neurosurgery, Department of Surgery, Changhua Christian Hospital, Changhua, Taiwan
Pramod Lokhande
Department of Orthopaedics, Smt. Kashibai Navale Medical College and General Hospital, Pune, India
Sang-Min Park
Spine Center, Department of Orthopedic Surgery, Seoul National University College of Medicine, Seoul ational University Bundang Hospital, Seongnam, Korea
Khanathip Jitpakdee
Department of Neurosurgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
Kandarpkumar K. Patel
Department of Neurosurgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
Jung-Hoon Kim
Department of Neurosurgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
Akaworn Mahatthanatrakul
Department of Orthopedics, Naresuan University Hospital, Phitsanulok, Thailand
Panya Luksanapruksa
Division of Spine Surgery, Department of Orthopaedics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Sirichai Wilartratsami
Division of Spine Surgery, Department of Orthopaedics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Jin-Sung Kim
Department of Neurosurgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
Objective We aim to report the outcomes and feasibility of endoscopic spine surgery used to treat symptomatic spinal metastases patients. This is the most extensive series of spinal metastases patients who underwent endoscopic spine surgery. Methods A worldwide collaborative network group of endoscopic spine surgeons, named ‘ESSSORG,’ was established. Patients diagnosed with spinal metastases who underwent endoscopic spine surgery from 2012 to 2022 were retrospectively reviewed. All related patient data and clinical outcomes were gathered and analyzed before the surgery and the follow-time period of 2 weeks, 1 month, 3 months, and 6 months. Results A total of 29 patients from South Korea, Thailand, Taiwan, Mexico, Brazil, Argentina, Chile, and India, were included. The mean age was 59.59 years, and 11 of them were female. The total number of decompressed levels was 40. The technique was relatively equal (15 uniportal; 14 biportal). The average length of admission was 4.41 days. Of all patients with an American Spinal Injury Association Impairment Scale of D or lower before surgery, 62.06% reported having at least one recovery grade after the surgery. Almost all clinical outcomes parameters statistically significantly improved and maintained from 2 weeks to 6 months after the surgery. Few surgical-related complications (4 cases) were reported. Conclusion Endoscopic spine surgery is a valid option for treating spinal metastases patients as it could yield comparable results to other minimally invasive spine surgery techniques. As the aim is to improve the quality of life, this procedure is valuable and holds value in palliative oncologic spine surgery.
