Table 5 Commonly-used and our scoring systems for patient with spinal metastasesa
Scoring systems | MOS (m) | Suggestions | No. of LC (Total) | Spinal metastasis | Treatments | Parameters |
|---|---|---|---|---|---|---|
Tokuhashi [9] | ||||||
Group A | 3 | Palliative surgery | 6 (64) | In general | All surgeryc | PS; Extraspinal bone metastases; Metastases in the vertebral body; Metastases to major organs; primary tumor site; Spinal cord palsy |
Group B | 6 | - | ||||
Group C | 22 | Excisional surgery | ||||
Revised Tokuhashi [10] | ||||||
Group A | 4.9 | Conservation therapy | 26 (246) | In general | 164 patients was treated with surgery | PS; Extraspinal bone metastases; Metastases in the vertebral body; Metastases to major organs; Primary tumor site; Spinal cord palsy |
Group B | 9.5 | Palliative surgery | ||||
Group C | 19 | Excisional surgery | ||||
Tomita [11] | ||||||
Group A | 6 | Supportive care | 10 (67) | In general | 58 patients was treated with surgery | No. of extraspinal bone metastases; Metastases to major internal organs; Primary tumor site; Spinal cord palsy |
Group B | 15 | Palliative surgery | ||||
Group C | 24 | Intralesional/marginal | ||||
Group D | 50 | Excisional surgery | ||||
Van der Linden [12] | ||||||
Group A | 4.8 | Radiotherapy | 68 (324) | No MSCC | Radiotherapy alone | KPS; Primary tumor; Visceral metastases |
Group B | 13.1 | Radiotherapy | ||||
Group C | 18.3 | Surgery | ||||
Sioutos [13] | ||||||
3b | 1.5 | No surgery | 45 (109) | MSCC | All surgeryd | Preoperative neurological status; Anatomic site of primary carcinoma; No. of vertebral bodies involved |
2b | 6.0 | No surgery | ||||
1b | 11.2 | Radical surgery | ||||
0b | 18.0 | Radical surgery | ||||
Bauer [14] | ||||||
Group A | - | No surgery | 6 (88) | In general | All surgerye | Visceral metastases; No. of skeletal metastases; Primary cancer type. |
Group B | - | Dorsal surgery | ||||
Group C | - | Ventral-dorsal surgery | ||||
Bartels [15] | ||||||
Not reported | 28 (219) | In general | Radiotherapy alone | Sex; Location of the primary lesion; Curative treatment of the primary tumor; Location of the spinal metastasis; KPS | ||
Ours | ||||||
Group A | 12.8 | More radical surgery | 64 (64) | MSCC | All surgerye | ECOG performance status; No. of involved vertebrae; Visceral metastases; Time developing motor deficits. |
Group B | 6.4 | Depressive surgery | ||||
Group C | 2.7 | Supportive care | ||||