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Management of Metastatic Spinal Disease - A Practical Approach
Graham Ka Hon Shea1, Kenny Yat Hong Kwan1
1Department of Orthopaedics and Traumatology, School of Clinical Medicine, The University of Hong Kong, Hong Kong.
Study Design:
Narrative review.
Objective:
This review presents a comprehensive approach to the management of spinal metastases.
Methods:
N/A.
Results:
The wide spectrum of clinical presentation in spinal metastases necessitates a personalized approach to treatment planning. This includes a comprehensive diagnostic workup, oncological management, palliation of symptoms, and surgical intervention if appropriate. A systematic and multidisciplinary approach allows optimal shared decision making to reach an evidence-informed and value-congruent treatment plan for the patient. We highlight how advances in stereotactic body radiotherapy (SBRT) and separation surgery may be incorporated into clinical management from a spine surgeon's perspective.
Conclusion:
This review summarizes the approach and management of spinal metastases, its outcomes and complications.
