The Role of Minimal Access Surgery in the Treatment of Spinal Metastatic Tumors.

Global Spine Journal
Ori BarzilaiI Laufer

Abstract

Literature review. To provide an overview of the recent advances in minimal access surgery (MAS) for spinal metastases. Literature review. Experience gained from MAS in the trauma, degenerative and deformity settings has paved the road for MAS techniques for spinal cancer. Current MAS techniques for the treatment of spinal metastases include percutaneous instrumentation, mini-open approaches for decompression and tumor resection with or without tubular/expandable retractors and thoracoscopy/endoscopy. Cancer care requires a multidisciplinary effort and adherence to treatment algorithms facilitates decision making, ultimately improving patient outcomes. Specific algorithms exist to help guide decisions for MAS for extradural spinal metastases. One major paradigm shift has been the implementation of percutaneous stabilization for treatment of neoplastic spinal instability. Percutaneous stabilization can be enhanced with cement augmentation for increased durability and pain palliation. Unlike osteoporotic fractures, kyphoplasty and vertebroplasty are known to be effective therapies for symptomatic pathologic compression fractures as supported by high level evidence. The integration of systemic body radiation therapy for spinal met...Continue Reading

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Citations

Jan 9, 2021·World Neurosurgery·Vikram B ChakravarthyAjit A Krishnaney
Mar 28, 2021·World Neurosurgery·Miriam M ShaoJohn W German
May 19, 2021·Neurosurgical Focus·Malte MohmeMartin Stangenberg

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