Diagnosis and management of spinal metastases in rehabilitation

  • Sarah Money
  • Sean Smith
Cancer Rehabilitation (MD Stubblefield, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Cancer Rehabilitation


Purpose of Review

To provide an overview of the presentation, diagnosis and management of spinal metastatic disease, as it relates to pain, function, and quality of life.

Recent Findings

There are a multitude of treatment options to address spinal metastatic disease, including radiotherapy, minimally invasive procedures, oral medications, and surgery. Treatment is individualized to the patient according to severity of symptoms, location of metastases, and concordant medical conditions. Patients may require treatments across several subspecialties to comprehensively treat their disease. The location and nature of metastatic disease within the spine are important, and an assessment of the patient’s neurologic status throughout treatment is essential in order to optimize patient function, to successfully manage pain when present, and to identify early potentially catastrophic changes.


It is necessary to use a multidisciplinary approach to address spinal metastatic disease, and there have been great advancements in terms of variety of available treatments.


Spine metastases Metastatic spine pain Cancer pain Metastatic pain Cancer rehabilitation 


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no competing interests.

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.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Physical Medicine and Rehabilitation Spine DivisionUniversity of MichiganAnn ArborUSA
  2. 2.Department of Physical Medicine and Rehabilitation Cancer Rehabilitation DivisionUniversity of MichiganAnn ArborUSA

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