Demand of surgical component in complex treatment metastatic bone disease
Purpose. To estimate the relevance of surgical treatment of patients with metastatic bone disease. Materials and methods. From April 2015 to April 2016, we have consulted 231 patients with metastatic bone disease. Results. We performed 107 operations in 74 patients from which minimally invasive techniques performed in 53 (71%) patients. Spine stabilizing operations and bone resections conducted in 21 (29%) of patients. Conclusion. The demand of orthopedic treatment in patients with metastatic bone disease is 35%. Without minimally invasive techniques, this value is 9%. There were no significant complications after performed surgeries in all groups. Pain has decreased fully or partially in 66 (89%) of patients. Neurologic status has improved in 8 of 12 (66%) of subjects. Increased ECOG and MSTS functional status was observed in 18 of 74 (24%) and 7 of 10 (70%) of patients respectively.