Surgical Approach to Bone Metastases
Purpose of Review
The purpose of this review was to examine the recent changes in the surgical treatment of bone metastases and how the treatment paradigm has shifted with the improvement of adjuvant therapies. How surgery fits into the local and systemic treatment was reviewed for bone metastases in different areas.
The more common use of targeted chemotherapies and focused high-dose radiation have altered the treatment paradigm of bone metastases.
Overall changes in the surgical treatment of bone metastases have been driven by an increased multidisciplinary approach to metastatic cancer and the awareness that one type of surgery does not work for all patients. The individual patient treatment goals dictate the surgical procedures used to achieve these goals. Advancements in adjuvant therapy-like radiation and more targeted chemotherapies have allowed for less invasive surgical approaches and therefore faster recoveries and reduced surgical morbidity for patients.
KeywordsBone metastases Spinal metastases Pain Surgery Cancer
Compliance with Ethical Standards
Conflict of Interest
Geoffrey Siegel, J. Sybil Biermann, Anda-Alexandra Calinescu, Daniel Spratt, and Nicholas Szerlip declare no conflict of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Financial Support and Industry Affiliations Pertinent to This Manuscript
No disclosures or financial support to report for any authors that is pertinent to this manuscript.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major Importance
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