Research Article

Treatment of Spinal Metastases with Epidural Cord Compression through Corpectomy and Reconstruction via the Traditional Open Approach versus the Mini-Open Approach: A Multicenter Retrospective Study

Table 2

The perioperative outcomes.

Perioperative OutcomesOpen GroupMini-open Groupp Value
(n = 113)(n = 96)

Number of corpectomy and reconstruction1.91.80.800
EBL (ml)1534.51007.3<0.001
Blood transfusion
Number of Patients106 (93.8%)86 (89.6%)0.266
RBC (U)5.22.4<0.001
FFP (ml)587.6327.1<0.001
Operation time (min)225.2276.7<0.001
Length of Hospitalization (days)21.615.30.006
Complications0.390
Number of Patients18 (15.9%)9 (9.4%)0.159
Wound infection/breakdown5 (16.7%)2 (18.2%)
Pedicle screw misplacement5 (16.7%)0 (0.0%)
Acute neurological aggravation4 (13.3%)2 (18.2%)
Symptomatic local tumour recurrence4 (13.3%)2 (18.2%)
Dural tear3 (10.0%)2 (18.2%)
Spinal shock2 (6.7%)0 (0.0%)
Infectious shock2 (6.7%)1 (9.1%)
Deep vein thrombosis2 (6.7%)0 (0.0%)
Pleural tear1 (3.3%)0 (0.0%)
Bone cement misplacement1 (3.3%)0 (0.0%)
Cerebral infarction1 (3.3%)0 (0.0%)
Respiratory0 (0.0%)1 (9.1%)
Cardiovascular0 (0.0%)1 (9.1%)
Re-operation9 (8.0%)4 (4.2%)0.390
30-day Mortality Rate5.3%2.1%0.226

EBL, estimated blood loss; RBC, red blood cells; FFP, fresh frozen plasma.