Symptomatic thoracic and lumbar spinal metastasis Tokuhashi score 9-11 Minimally invasive spinal surgery MIS MISS Percutaneous pedicle screw Open spinal surgery Palliative spinal surgery Spinal metastasis Post-operative pain
Conditions
Interventions
Patient underwent percutaneous pedicle screw fixation and incase of need for decompression will done in miniopen manner.,Patient underwent open pedicle screw fixation and decompression as gold standar
Experimental Procedure/Surgery,Experimental Procedure/Surgery
Percutaneous pedicle screw fixation,Open spinal fixation
Sponsors
Faculty of Medicine, Prince of Songkla university
Eligibility
Sex/Gender
All
Age
20 Years to 80 Years
Inclusion criteria
Inclusion criteria: - Patients with symptomatic thoraco- and lumbar spinal metastasis with Tokuhashi score 9-11 - Patients who had Localized pain, Mechanical back pain or Radicular pain, which VAS score at least 5 (Moderate to severe pain according to WHO guideline, that did not response to pain killer medication - Age 20-80 years old
Exclusion criteria
Exclusion criteria: - Patients who had previous surgery or radiation therapy of thoracic- and lumbar spine - Patients with skipped spinal metastasis - Patients who unable to evaluate VAS score - Patients who allergy to Titanium that is the main component of pedicle screw. - Patients who allergy to Fentanyl, Paracetamol, Naproxen, Tramadol that are medication in protocol. - Pregnancy - Patients with inflammatory spinal disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative pain score 3 days, 7 days, 14 days, 6 weeks, 12 weeks and 6 months post operation Visual analog scale score | — |
Secondary
| Measure | Time frame |
|---|---|
| Blood loss Intraoperative and postoperative blood loss (drained blood) Millimeters/ from Intraoperative and drained postoperative blood loss | — |
Countries
Thailand
Contacts
Public ContactChonnipa Siriarchawawat
Faculty of medicine, Prince of Songkla university
Outcome results
None listed