[Translated article] Critical evaluation of the literature on decision-making in spinal metastases

Rev Esp Cir Ortop Traumatol. 2023 Nov-Dec;67(6):S449-S457. doi: 10.1016/j.recot.2023.08.001. Epub 2023 Aug 2.
[Article in English, Spanish]

Abstract

Decision-making in patients with vertebral metastases is highly complex. Different factors of the patient, their cancer disease and treatment options are involved in it. Treatment schemes and strategies have been modified with the evolution of knowledge and treatment of disseminated oncological disease. This paper analyzes the bibliography that has been used for decision-making in the last three decades, as well as the evolution to the schemes that we could consider contemporary.

Keywords: Cirugía de separación; Column; Columna; Compresión medular; Metástasis vertebral; Separation surgery; Spinal cord compression; Spinal metastasis.