Operative Versorgung spinaler Metastasen in Häusern der Regelversorgung

Zusammenfassung

Die operative Versorgung spinaler Metastasen, in der Regel in Form einer Instrumentation und Dekompression des Spinalkanals und ggfs. eines Tumordebulkings, sind die mit Abstand häufigsten tumorbedingten Eingriffe in der Wirbelsäulenchirurgie. Aufgrund des hohen Patientenaufkommens ist daher eine flächendeckende Versorgung der Patienten erforderlich. Bezüglich der Behandlungsqualität sind zentrumsspezifische und operateursspezifische Eingriffshäufigkeit die entscheidenden Kriterien. Entsprechende Kliniken und Operateure sind sowohl in Häusern der Grund- und Regelversorgung als auch in Häusern der Maximalversorgung zu finden.

Abstract

Surgical treatment of spinal metastases usually consist of stabilization and decompression of the spinal canal including tumordebulking. These procedures are by far the most frequent oncologic operations within the field of spine surgery. Due to the high volume of patients, a wide national coverage of these procedures are crucial. Concerning quality of care both high volume centers as well as a surgeon specific volume are relevant predictive factors. High volume centers and surgeons are found in hospitals of both maximum and regular care.

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