Principles for the systemic treatment of neoplastic metastases to bone

Over 30% of pathological fractures require orthopedic devices. These are intended to maintain the patient's mobility, in some cases to facilitate radiation and reduce pain symptoms. Despite the lack of equipment, radiation, though it does not replace surgical treatment, is one of the basic methods bringing about improved quality of life. Often the optimal treatment is to combine radiation and surgical treatment with supplementary procedures involving highly specialized adjutant treatment, including physical rehabilitation. This article presents some proposals for procedures to provide the patient with comprehensive treatment, with particular attention to surgical procedures.