An Updated Review on the Treatment Strategy for Spinal Metastasis from the Spine Surgeon’s Perspective

Spinal metastasis is a common issue causing significant pain and disability in cancer patients. A multidisciplinary approach consisting of chemotherapy, radiotherapy, and surgical treatment is used for treating patients with metastatic spinal tumors. Due to recent advancements in medical and radiati...

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Main Authors: Seong Hwa Hong, Bong-Soon Chang, Hyoungmin Kim, Dong-Ho Kang, Sam Yeol Chang
Format: Article
Language:English
Published: Korean Spine Society 2022-10-01
Series:Asian Spine Journal
Subjects:
Online Access:http://www.asianspinejournal.org/upload/pdf/asj-2022-0367.pdf
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author Seong Hwa Hong
Bong-Soon Chang
Hyoungmin Kim
Dong-Ho Kang
Sam Yeol Chang
author_facet Seong Hwa Hong
Bong-Soon Chang
Hyoungmin Kim
Dong-Ho Kang
Sam Yeol Chang
author_sort Seong Hwa Hong
collection DOAJ
description Spinal metastasis is a common issue causing significant pain and disability in cancer patients. A multidisciplinary approach consisting of chemotherapy, radiotherapy, and surgical treatment is used for treating patients with metastatic spinal tumors. Due to recent advancements in medical and radiation oncology, like tumor genetics and stereotactic radiotherapy, this treatment strategy would change inevitably. Therefore, the decision-making systems developed for assisting physicians and surgeons to choose the most appropriate treatment for each patient with spinal metastasis need to evolve. In this review, the recent developments, validations, and modifications of these systems, as well as suggestions for future systems have been discussed. Recently, separation surgery combined with stereotactic radiotherapy (hybrid therapy) has gained popularity. Additionally, the evidence for hybrid therapy presented in the literature has been reviewed.
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spelling doaj.art-af7fb22debc54053b1ec439631ebb31c2022-12-22T03:57:49ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462022-10-0116579981110.31616/asj.2022.03671474An Updated Review on the Treatment Strategy for Spinal Metastasis from the Spine Surgeon’s PerspectiveSeong Hwa Hong0Bong-Soon Chang1Hyoungmin Kim2Dong-Ho Kang3Sam Yeol Chang4 Department of Orthopaedic Surgery, Seoul National University Hospital, Seoul, Korea Department of Orthopaedic Surgery, Seoul National University Hospital, Seoul, Korea Department of Orthopaedic Surgery, Seoul National University Hospital, Seoul, Korea Department of Orthopaedic Surgery, Seoul National University Hospital, Seoul, Korea Department of Orthopaedic Surgery, Seoul National University Hospital, Seoul, KoreaSpinal metastasis is a common issue causing significant pain and disability in cancer patients. A multidisciplinary approach consisting of chemotherapy, radiotherapy, and surgical treatment is used for treating patients with metastatic spinal tumors. Due to recent advancements in medical and radiation oncology, like tumor genetics and stereotactic radiotherapy, this treatment strategy would change inevitably. Therefore, the decision-making systems developed for assisting physicians and surgeons to choose the most appropriate treatment for each patient with spinal metastasis need to evolve. In this review, the recent developments, validations, and modifications of these systems, as well as suggestions for future systems have been discussed. Recently, separation surgery combined with stereotactic radiotherapy (hybrid therapy) has gained popularity. Additionally, the evidence for hybrid therapy presented in the literature has been reviewed.http://www.asianspinejournal.org/upload/pdf/asj-2022-0367.pdfspinal metastasisseparation surgerystereotactic radiosurgeryhybrid therapyprognostic model
spellingShingle Seong Hwa Hong
Bong-Soon Chang
Hyoungmin Kim
Dong-Ho Kang
Sam Yeol Chang
An Updated Review on the Treatment Strategy for Spinal Metastasis from the Spine Surgeon’s Perspective
Asian Spine Journal
spinal metastasis
separation surgery
stereotactic radiosurgery
hybrid therapy
prognostic model
title An Updated Review on the Treatment Strategy for Spinal Metastasis from the Spine Surgeon’s Perspective
title_full An Updated Review on the Treatment Strategy for Spinal Metastasis from the Spine Surgeon’s Perspective
title_fullStr An Updated Review on the Treatment Strategy for Spinal Metastasis from the Spine Surgeon’s Perspective
title_full_unstemmed An Updated Review on the Treatment Strategy for Spinal Metastasis from the Spine Surgeon’s Perspective
title_short An Updated Review on the Treatment Strategy for Spinal Metastasis from the Spine Surgeon’s Perspective
title_sort updated review on the treatment strategy for spinal metastasis from the spine surgeon s perspective
topic spinal metastasis
separation surgery
stereotactic radiosurgery
hybrid therapy
prognostic model
url http://www.asianspinejournal.org/upload/pdf/asj-2022-0367.pdf
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