Abstract
About half of the patients with cancer suffer from bone metastases, with the spine presenting the most common site; in particular, the thoracic spine is the most frequent localization for metastatic lesions, followed by the lumbar spine.
Metastatic lesions of the spine commonly occur in advanced malignant disease, and the most common are prostate, breast, kidney, and lung tumor metastases; hematologic disorders such as multiple myeloma frequently metastasize to the spine.
The primary goals of surgery for spinal metastases are the preservation of neurological function, pain relief, mechanical stabilization, and local tumor control.
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Further Readings
Fehlings MG, et al. Survival and clinical outcomes in surgically treated patients with metastatic epidural spinal cord compression: results of the prospective multicenter AOSpine study. J Clin Oncol. 2016;34(3):268–76.
Laufer I, et al. The NOMS framework: approach to the treatment of spinal metastatic tumors. Oncologist. 2013;18:744–51.
Fisher CG, et al. A novel classification system for spinal instability in neoplastic disease. Spine. 2010;35(22):E1221–9.
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Video 63.1
Thoracic and Lumbar pedicle screw fixation (MP4 635137 kb)
Video 63.2
Neurological examination of upper and lower extremities (MOV 232487 kb)
Video 63.3
Biopsy in spine lesions (WMV 263410 kb)
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Hubertus, V., Vajkoczy, P., Onken, J.S. (2022). Metastatic Lesions of the Spine. In: Şenköylü, A., Canavese, F. (eds) Essentials of Spine Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-80356-8_63
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DOI: https://doi.org/10.1007/978-3-030-80356-8_63
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-80355-1
Online ISBN: 978-3-030-80356-8
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