Surgical Management of the Metastatic Spine Disease: A Review of the Literature and Proposed Algorithm

被引：18

作者：

Al Farii, Humaid ^{[1
,2
]}

Aoude, Ahmed ^{[1
]}

Al Shammasi, Ahmed ^{[1
]}

Reynolds, Jeremy ^{[1
]}

Weber, Michael ^{[1
]}

机构：

[1] McGill Univ, Div Orthopaed Surg, Montreal, PQ, Canada

[2] McGill Univ, Div Orthopaed Surg, 1070 St Matheiu,1201, Montreal, PQ H3H 2S8, Canada

来源：

GLOBAL SPINE JOURNAL | 2023年 / 13卷 / 02期

关键词：

cervical; lumbar; thoracic; compression; decompression; tumors; metastases; and oncology; EN-BLOC SPONDYLECTOMY; PROGNOSTIC SCORING SYSTEMS; VERTEBRAL BODY RESECTION; CORD COMPRESSION; TOKUHASHI SCORE; PREOPERATIVE EVALUATION; CEMENT AUGMENTATION; INVASIVE MANAGEMENT; PREDICTING SURVIVAL; THORACOLUMBAR SPINE;

D O I：

10.1177/21925682221146741

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

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.

引用

页码：486 / 498

页数：13

共 98 条

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