[The surgical treatment of spinal metastases in Scandinavia]

The article consists in a review of the findings in a questionnaire study, which indicate that the adoption of new surgical techniques varies from one centre to another. Several prognostic factors have been identified, that enable the differentiation of treatment from palliation to reconstruction. The new fixation methods yield improved functional outcome without a significant increase in surgical trauma. An active surgical approach is outlined which, in conjunction with overall oncological care, may improve the patient's quality of life.