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Table 5 Commonly-used and our scoring systems for patient with spinal metastasesa

From: Prediction of survival prognosis after surgery in patients with symptomatic metastatic spinal cord compression from non-small cell lung cancer

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
  1. MOS indicates mean overall survival; LC, lung cancer; PS, performance status; KPS, karnofsky performance status; MSCC, metastatic spinal cord compression, ECOG, Eastern Cooperative Oncology Group
  2. aFunctional outcome are not considered in all of their original studies
  3. bNo. of negative prognostic factors
  4. cExcisional or palliative procedure
  5. dAnterior or posterior approach
  6. ePosterior approach