{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T20:53:56Z","timestamp":1771707236172,"version":"3.50.1"},"reference-count":23,"publisher":"S. Karger AG","issue":"3","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Oncology"],"published-print":{"date-parts":[[2014]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Objective:&lt;\/i&gt;&lt;\/b&gt; To determine whether preoperative parameters correlate with the postoperative functional outcome in para- and tetraplegic patients with lung, kidney, breast and prostate cancer and metastatic spinal cord compression (MSCC). &lt;b&gt;&lt;i&gt;Methods:&lt;\/i&gt;&lt;\/b&gt; Information on 43 patients undergoing decompressive surgery and rehabilitation for MSCC was reviewed, including primary tumor, age, pre- and postoperative ambulation status, mobility subcategory of the Spinal Cord Injury Measure (mSCIM) and the Tokuhashi score. Differences between groups were analyzed by the nonparametric &amp;#967;&lt;sup&gt;2&lt;\/sup&gt; test, and correlation coefficients (Spearman's rho) were computed. &lt;b&gt;&lt;i&gt;Results:&lt;\/i&gt;&lt;\/b&gt; Preoperative ambulation (p &lt; 0.001), the American Spinal Injury Association Impairment Scale (p &lt; 0.001) and the type of operation (p = 0.02) influenced the postoperative functional outcome. Any positive change in the mSCIM was influenced by preoperative ambulation (p &lt; 0.001). Patients with breast carcinoma showed significantly more positive changes in the mSCIM compared with other tumors (p = 0.002). No correlation was found between the treatment categories of the Tokuhashi score and the preoperative ambulatory status (p = 0.13) or the change in ambulation status (p = 0.29). &lt;b&gt;&lt;i&gt;Conclusion:&lt;\/i&gt;&lt;\/b&gt; The postoperative functional outcome of MSCC patients shows a linear association between the categories of the Tokuhashi score and the change in ambulation status. We recommend surgical decompression even in a palliative situation (Tokuhashi score 0-8) with the aim of optimizing the short-term rehabilitation outcome. \u00a9 2014 S. Karger AG, Basel<\/jats:p>","DOI":"10.1159\/000358597","type":"journal-article","created":{"date-parts":[[2014,4,16]],"date-time":"2014-04-16T07:20:38Z","timestamp":1397632838000},"page":"177-184","source":"Crossref","is-referenced-by-count":12,"title":["Preoperative Scoring and Limits of Prognostication: Functional Outcome after Surgical Decompression in Metastatic Spinal Cord Compression"],"prefix":"10.1159","volume":"86","author":[{"given":"C.","family":"Putz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Gantz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Bruckner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Moradi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Helbig","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.J.","family":"Gerner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Akbar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2014,4,16]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000180401.06919.a5"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.3171\/2009.1.SPINE08657"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1007\/s00132-012-1910-2"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2008.75"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1227\/01.neu.0000317317.33365.15"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.11039"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199911010-00012"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199011010-00005"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0142(19971015)80:8+<1614::AID-CNCR12>3.3.CO;2-0"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1682\/JRRD.2005.07.0123"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.91B2.20894"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6602957"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)66954-1"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e318193a25b"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3102024"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.3340\/jkns.2011.50.3.216"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/95.1.87"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(96)90276-2"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1097\/00002060-199304000-00005"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e318188b98f"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.4103\/0974-8237.77670"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-012-2615-2"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e318193a25b"}],"container-title":["Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/358597","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/358597","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T18:38:46Z","timestamp":1745433526000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000358597"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014]]},"references-count":23,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2014,5,1]]},"published-print":{"date-parts":[[2014,5,9]]}},"URL":"https:\/\/doi.org\/10.1159\/000358597","archive":["Portico"],"relation":{"is-supplemented-by":[{"id-type":"doi","id":"10.6084\/m9.figshare.5241598","asserted-by":"subject"}]},"ISSN":["0030-2414","1423-0232"],"issn-type":[{"value":"0030-2414","type":"print"},{"value":"1423-0232","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014]]}}}