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Type: Artigo de periódico
Title: Study Of The Applicability Of The Revised Tokuhashi Score In Patients With Vertebral Metastasis Surgically Treated [estudo Da Aplicabilidade Do Escore De Tokuhashi Modificado Nos Pacientes Tratados Cirurgicamente De Metástases Vertebrais]
Author: Sansao C.C.
Lehoczki M.A.
Boechat R.C.B.M.
Landim E.
Cavali P.T.M.
Veiga I.G.
Pasqualini W.
Abstract: Objective: To present the results obtained in patients surgically treated with vertebral metastasis treated by UNICAMP Group of Spine Surgery comparing them with the Tokuhashi score, evaluating its applicability. Methods: Retrospective study with 13 patients surgically treated for vertebral metastasis. The Tokuhashi score was retrospectively applied in all patients to evaluate the agreement of the therapeutic indication based on it and the previously formally established indications in the service for the treatment of the spinal metastasis. The time of the patients' real survival rate was compared to their punctuations in the score in order to validate its use in prognostic. Results: Nine female and four male patients were studied. The most common primary site was mamma. The medium time of continuation was of 17.3 months. The agreement index between the Tokuhashi score and the survival rate was of 84.6%. 4 cases of death presented agreement in relation to the score and the respective life prognostic. There were 3 cases of surgical indication with score below 8, and, in those patients, the indication was not just based on life prognostic. Conclusion: The application of the Tokuhashi score was demonstrated valid in the determination of the life prognostic in patients with vertebral metastasis. However, it is not the only tool for the indication of the treatment modality other isolated factors should be considered as: untreatable pain or expansible lesion not answering to oncologic treatments as radiotherapy, chemotherapy and hormonal therapy; spinal instability and medular compression manifested clinically.
Rights: aberto
Identifier DOI: 
Date Issue: 2008
Appears in Collections:Unicamp - Artigos e Outros Documentos

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