Surgical Management of the Metastatic Spine Disease: A Review of the Literature and Proposed Algorithm. Issue 2 (March 2023)

• Record Type: Journal Article
• Authors: Al Farii, Humaid; Aoude, Ahmed; Al Shammasi, Ahmed; Reynolds, Jeremy; Weber, Michael
• Is Part Of: Global spine journal. Volume 13:Issue 2(2023)
• Page Start: 486
• Page End: 498
• Publication Date: 2023-03
• Subjects: cervical -- lumbar -- thoracic -- compression -- decompression -- tumors -- metastases -- and oncology; Spine -- Diseases -- Periodicals; Spine -- Diseases -- Treatment -- Periodicals; Spine -- Abnormalities -- Periodicals; Spine -- Surgery -- Periodicals; 616.73
• DOI: 10.1177/21925682221146741
• Languages: English
• ISSNs: 2192-5682

Abstract

Study Design: Narrative Review. The spine remains the most common site for bony metastasis. It is estimated that up to 70% of cancer patients harbor secondary spinal disease. And up to 10% will develop a clinically significant lesion. The last two decades have seen a substantial leap forward in the advancements of the management of spinal metastases. What once was a death sentence is now a manageable, even potentially treatable condition. With marked advancements in the surgical treatment and post-operative radiotherapy, a standardized approach to stratify and manage these patients is both prudent and now feasible. Objectives: This article looks to examine the best available evidence in the stratification and surgical management of patients with spinal metastases. So the aim of this review is to offer a standardized approach for surgical management and surgical planning of patients with spinal metastases.