Abstract
The surgical treatment paradigm for treating metastatic disease to the spine continues to evolve as the long-term survival of patients with metastatic disease improves. There has been a significant advancement in radiation therapy and chemotherapy in the treatment of metastatic disease; however, surgery has evolved as a major treatment option for patients with spinal metastases. Surgical decompression is particularly useful in treating patients with high-grade ESCC (epidural spinal cord compression) and CEC (cauda equina compression), and instrumentation/stabilization is indicated for treating spinal instability. The use of NOMS (neurologic, oncologic, mechanical, systemic) framework provides a treatment algorithm that facilitates coordination between a multidisciplinary team to offer safe, reliable, and reproducible treatment for patients with metastatic spinal disease.
| Original language | English |
|---|---|
| Title of host publication | Central Nervous System Metastases |
| Subtitle of host publication | Diagnosis and Treatment |
| Publisher | Springer International Publishing |
| Pages | 535-540 |
| Number of pages | 6 |
| ISBN (Electronic) | 9783030429584 |
| ISBN (Print) | 9783030429577 |
| DOIs | |
| State | Published - Jan 1 2020 |
Keywords
- Cauda equina compression (CEC)
- Epidural spinal cord compression (ESCC)
- Instability
- NOMS (neurologic, oncologic, mechanical, systemic)
- Radiation therapy (RT)
- SINS (Spine Instability Neoplastic Score)
- Spine
- Stereotactic radiosurgery (SRS)
- Surgery
- Tumor
- Vertebrae