Background: Metastatic spinal lesions occur in 70% of patients with incurable
cancer, and the most common site for bone
metastases is the spine. Over the last decade, medical science has made significant progress in treating
tumor damage to the spine. The study examined the efficacy of
decompression surgery for patients with metastatic cervical spine lesions contributing to
spinal cord compression. Methods: The study enrolled 38 patients (27 females and 11 males, average age of 61.35±8.49 years) with metastatic cervical spine lesions resulting in cord compression relieved with surgery. Patients experienced improvement in
pain and motor within one month of surgery addressing cervical metastatic disease. Results: Complete or partial regression of
pain syndrome 10 days after surgery was observed in 26 (68.4%) patients, one month later - in 33 (86.8%) patients, one year later - in 35 (92.1%) patients. Regression of neurological symptoms on the 10th day after surgery was observed in 8 (21.1%) patients, one month later - in 21 (55.3%) patients, one year later - in 34 (89.5%) patients. Two patients died between 3 and 12 months after surgery, having a worsening of their neurological status and
pain syndrome. Conclusions:
Decompression surgeries for metastatic lesions of the cervical spine with
spinal cord compression resulted in effective reduction of
pain and neurological dysfunction.