What are the possible complications of metastatic spinal tumors?

Updated: Nov 01, 2018
  • Author: Andrew A Sama, MD; Chief Editor: Jeffrey A Goldstein, MD  more...
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Answer

Fan et al conducted a study to analyze complications following posterior vertebral column resection in patients with spinal tumors. [39]  A total of 36 complications were reported, and the following associations were noted:

  • Transient late tracheal extubation was associated with higher intraoperative bleeding volume and lower preoperative forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV 1)
  • Subsidence in the replaced spinal segment was associated with increased duration of surgery, higher intraoperative bleeding volume, and higher total blood transfusion volume
  • Thrombocytopenia was associated with increased duration of surgery and higher total blood transfusion volume

The majority of the complications were minor and did not affect patient recovery. [39]  The investigators concluded that active preventive measures are necessary to reduce the incidence of major complications.


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