STUDY DESIGN: Retrospective outcome measurement study. OBJECTIVES: @entity1 suffering from @entity5 and @entity3 to the spine develop a variety of clinical complaints including @entity1745 . Palliative decompressive laminectomy with total or partial @entity5 resection is an acknowledged method of treatment, despite controversy. SETTING: The Department of Neurosurgery of the University of Vienna. METHOD: @entity1 suffering from @entity3 with predominant infiltration of the dorsal epidural parts, or @entity1 who could not be operated on via an anterior approach, were included. Eighty-four @entity1 who met these criteria underwent decompressive laminectomy with total or partial @entity5 removal. The study analyzed motor function, @entity158 relief and continence in a 2- and 4-month post-operative follow-up. According to the criteria of motor performance, 20% of the @entity1 had been mobile pre-operatively. RESULTS: In the immediate post-operative period 45%, after 2 months 33% and after 4 months 26%, were considered mobile. None of the paraplegic @entity1 showed functional improvement. The median survival time was 6.5 months. Pre-operatively, 56% of the @entity1 had shown continence dysfunction. Post-operatively, 38%, and after 2 months 46% of the @entity1 , developed @entity74 . A significant reduction in analgesic medication was also observed in the post-operative period. CONCLUSION: In our series, palliative laminectomy with @entity5 reduction in @entity1 with malignant spinal metastatic disease resulted in amelioration of motor function, @entity158 and continence and therefore improved the @entity1 ' quality of life. The improvement in quality of life shows that this method is a valuable option in neurosurgical therapy, except for cases with pre-operative @entity451 . However, in @entity1 with severe pre-operative paraparesis, the authors recommend laminectomy only in very exceptional cases, because of the poor post-operative neurological results.

Neurological outcome following laminectomy in spinal XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity5 :: ('MESH:D009369', 'Disease') :: ['total or subtotal tumour', 'malignant tumour disease', 'tumour'] @entity1745 :: ('MESH:D013117', 'Disease') :: ['radicular symptoms and/or spinal cord compression syndromes'] @entity74 :: ('MESH:D030342', 'Disease') :: ['continence disorders'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastases'] @entity451 :: ('MESH:C536857', 'Disease') :: ['paraplegia']
@entity3 :: (MESH:D009362,Disease) :: ['metastases']
