Shea GKH, Kwan KYH. Management of Metastatic Spinal Disease - A Practical Approach.
Global Spine J 2024:21925682231173646. [PMID:
39069670 DOI:
10.1177/21925682231173646]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/30/2024] Open
Abstract
STUDY DESIGN
Narrative review.
OBJECTIVE
This review presents a comprehensive approach to the management of spinal metastases.
METHODS
N/A.
RESULTS
The wide spectrum of clinical presentation in spinal metastases necessitates a personalized approach to treatment planning. This includes a comprehensive diagnostic workup, oncological management, palliation of symptoms, and surgical intervention if appropriate. A systematic and multidisciplinary approach allows optimal shared decision making to reach an evidence-informed and value-congruent treatment plan for the patient. We highlight how advances in stereotactic body radiotherapy (SBRT) and separation surgery may be incorporated into clinical management from a spine surgeon's perspective.
CONCLUSION
This review summarizes the approach and management of spinal metastases, its outcomes and complications.
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