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Mingxing Lei,1,* Jun Yu,2,* Shiju Yan,1 Xiao An,1 Yaosheng Liu3 1Department of Orthopedic Surgery, Hainan Hospital of the PLA General Hospital, Sanya, People’s Republic of China; 2Department of Anesthesiology, The Fourth Medical Center of PLA General Hospital, Beijing, People’s Republic of China; 3Department of Orthopedic Surgery, The 307th Hospital, Beijing, People’s Republic of China *These authors contributed equally to this work Purpose: The aim of this study was to investigate the clinical results of surgery for cervical spine metastasis and identify clinical risk factors affecting postoperative survival and neurological outcome.Patients and methods: A retrospective analysis of medical records was performed on 19 patients who had undergone decompressive surgery and spine stabilization due to metastatic spinal cord compression in the cervical spine. All patients had severe pain before surgery. Worst pain, average pain, and pain interference were evaluated using the visual analog scale (range, 0–10) for each patient at baseline and following surgery. Neurological recovery was assessed using the Japanese Orthopaedic Association Score (JOAS). In addition, associations between ten characteristics and postoperative survival and neurological outcomes were analyzed in the study.Results: The mean worst pain score in a 24-hour period was 8.6 before the operation. At 1 day, 1, 3, 6, and 12 months after the operation, the mean worst pain scores decreased to 5.6, 4.5, 3.8, 2.6, and 2.4 (all P |
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