Commentary on relevant issues in surgical treatment of spinal metastatic tumors.
10.12200/j.issn.1003-0034.2023.12.018
- VernacularTitle:脊柱转移性肿瘤外科治疗相关问题探讨
- Author:
Mei-Tao XU
1
;
Sha CAI
2
;
Tian-Yong HOU
1
Author Information
1. Department of Orthopaedics, Southwest Hospital, the Third Military Medical University, Chongqing 400030, China.
2. Department of Anoothesiology, the First Hospital of Army Medical Univesty, Chongqing 400030, China.
- Publication Type:Journal Article
- Keywords:
Multidisciplinary comprehensive assessment;
Separation surgery;
Spinal mtastasis;
Stereotactic body radiation therapy;
Total en bloc spondylectomy
- MeSH:
Humans;
Spine/surgery*;
Spinal Neoplasms/surgery*
- From:
China Journal of Orthopaedics and Traumatology
2023;36(12):1203-1206
- CountryChina
- Language:Chinese
-
Abstract:
The multidisciplinary treatment model led by surgery has become a comprehensive strategy and overall concept for the treatment of spinal metastatic tumors. But the surgical treatment of spinal metastatic tumors is different from primary malignant tumors of the spine. Surgery is only a part of the multidisciplinary comprehensive treatment. Therefore, the following aspects need to be evaluated comprehensively based on the survival assessment, evaluation of spinal stability damage, nerve dysfunction, and oncological characteristics of the metastatic tumors with a reasonable surgical intervention. The attention should be paid to the minimally invasive treatment of spinal metastases, progress of new radiotherapy technology, neoadjuvant chemotherapy, targeted drug therapy and other medical treatment to make a comprehensive and individualization decision which is benefit to relieve patients ' pain, reconstruct spinal stability and avoid paralysis. While improving patient survival, increasing local tumor control rate and possibly prolonging survival time, avoiding excessive surgery as much as possible.
