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Cancer Survival Analysis

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Updated: Dec 4, 2025

Optimizing Minimally Invasive Spine Surgery: A Fully 3D CT O-Arm Navigated Workflow in MIS TLIF

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Published on: October 17, 2025

Palliative Spine Surgery in a Patient with Advanced Cancer: A Case Report and Decision-Making Guide.

Renato V Samala¹, Ruth L Lagman¹, Michael P Steinmetz²

¹Department of Palliative and Supportive Care, Taussig Cancer Institute, Cleveland Clinic, Cleveland, Ohio, USA.

Journal of Palliative Medicine

|October 22, 2020

Summary

Palliative spine surgery can offer significant pain relief for patients with advanced cancer. This approach may reduce opioid requirements, improving quality of life when other treatments fail.

Keywords:

cancer-related pain goals of care palliative care palliative surgery spine metastasis spine surgery

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Area of Science:

Oncology
Neurosurgery
Palliative Care

Background:

Cancer metastasis to the spine frequently causes intractable pain, impairing quality of life.
Standard analgesic regimens and nonpharmacological interventions are often insufficient for severe cancer-related back pain.

Observation:

A patient with advanced colon cancer metastatic to the spine experienced persistent, severe pain despite high-dose opioids and adjuvant analgesics.
The patient had undergone multiple prior procedures for back pain and was admitted to a palliative care unit.

Findings:

Percutaneous pedicle screw fixation was performed on the patient with a prognosis of six months.
Following surgery, the patient's pain management regimen was significantly reduced, equivalent to 45 mg of morphine daily.

Implications:

Palliative spine surgery can be a viable option for managing intractable cancer-related back pain in patients with limited prognosis.
This surgical approach may lead to substantial pain reduction and decreased opioid dependency.
The article provides guidance for considering surgical interventions in advanced cancer patients with spinal metastases.