Metastatic disease in the thoracic and lumbar spine: Evaluation and management

Peter S. Rose, Jacob M. Buchowski

Research output: Contribution to journalReview articlepeer-review

60 Scopus citations

Abstract

Spinal metastases are found in most patients who die of cancer. The number of patients with symptomatic spinal metastases likely will increase as therapy for the primary disease improves and as cardiovascular mortality decreases. Understanding the epidemiology of metastatic spine disease and its presentation is essential to developing a diagnostic strategy. Treatment may involve chemotherapy, corticosteroids, radiotherapy, surgery, and/or percutaneous procedures (eg, vertebroplasty, kyphoplasty). A rational treatment plan can help improve quality of life, preserve neurologic function, and prolong survival.

Original languageEnglish
Pages (from-to)37-46
Number of pages10
JournalJournal of the American Academy of Orthopaedic Surgeons
Volume19
Issue number1
StatePublished - Jan 1 2011

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