Management of Metastatic Spinal Disease - A Practical Approach.

IF 2.6 3区 医学 Q2 CLINICAL NEUROLOGY Global Spine Journal Pub Date : 2024-07-28 DOI:10.1177/21925682231173646
Graham Ka Hon Shea, Kenny Yat Hong Kwan
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Abstract

Study design: Narrative review.

Objective: This review presents a comprehensive approach to the management of spinal metastases.

Methods: N/A.

Results: The wide spectrum of clinical presentation in spinal metastases necessitates a personalized approach to treatment planning. This includes a comprehensive diagnostic workup, oncological management, palliation of symptoms, and surgical intervention if appropriate. A systematic and multidisciplinary approach allows optimal shared decision making to reach an evidence-informed and value-congruent treatment plan for the patient. We highlight how advances in stereotactic body radiotherapy (SBRT) and separation surgery may be incorporated into clinical management from a spine surgeon's perspective.

Conclusion: This review summarizes the approach and management of spinal metastases, its outcomes and complications.

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转移性脊柱疾病的治疗--实用方法。
研究设计叙述性综述:本综述介绍了脊柱转移瘤的综合治疗方法:不适用:结果:脊柱转移瘤的临床表现多种多样,因此必须采用个性化的方法制定治疗计划。这包括全面诊断、肿瘤学治疗、症状缓解以及适当的手术干预。采用系统化的多学科方法可以优化共同决策,从而为患者制定出循证且价值一致的治疗方案。我们强调了如何从脊柱外科医生的角度将立体定向体放射治疗(SBRT)和分离手术的进展纳入临床管理:本综述总结了脊柱转移瘤的治疗方法和管理、结果及并发症。
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来源期刊
Global Spine Journal
Global Spine Journal Medicine-Surgery
CiteScore
6.20
自引率
8.30%
发文量
278
审稿时长
8 weeks
期刊介绍: Global Spine Journal (GSJ) is the official scientific publication of AOSpine. A peer-reviewed, open access journal, devoted to the study and treatment of spinal disorders, including diagnosis, operative and non-operative treatment options, surgical techniques, and emerging research and clinical developments.GSJ is indexed in PubMedCentral, SCOPUS, and Emerging Sources Citation Index (ESCI).
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