Management of Metastatic Spinal Disease – A Practical Approach

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.