Surgical Management Update in Metastatic Disease of the Spine

Approximately 12%-20% of patients with metastatic disease will initially present with symptomatic spinal metastasis. Treatment goals include pain control, spinal stability, recovery of neurologic function, local tumor control through debulking or tumor excision, and improved quality of life. Treatment options depend on several factors: spinal stability, patient health and comorbidities, clinical presentation, prognosis, life expectancy, and tumor histology. The following chapter reviews classification of metastatic spinal diseases and the various options, techniques, and reported outcomes for surgical management. (C) 2021 Elsevier Inc. All rights reserved.