Minimally Invasive Approaches to Spinal Metastases

Endoscopic Surgery and Vertebral Augmentation
  • Jean-ValÉry C. E. Coumans
  • A. Jay Khanna
  • Isador H. Lieberman
Part of the Current Clinical Oncology book series (CCO)


Approximately 50 to 70% of all cancer patients ultimately develop skeletal metastases, and the spine is the most common site of metastatic deposition. Most patients with spinal metastases are treated nonsurgically, commonly with radiation therapy, chemotherapy, radiopharmaceutical therapy, hormonal therapy, and antiresorptive therapy with bisphosphonates and analgesics (1,2). Usually, surgery is considered only for patients with intractable pain, neurological compromise, and overt or impending instability. The goals of spinal tumor surgery are to decompress the spinal cord and nerve roots, stabilize the spine, alleviate pain, and, in some cases, establish a diagnosis. Occasionally, the goal of surgery for a patient with a primary neoplasm of the spine is to effect a cure.


Vertebral Body Compression Fracture Spinal Metastasis Percutaneous Vertebroplasty Thoracoscopic Approach 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Humana Press, Inc., Totowa, NJ 2006

Authors and Affiliations

  • Jean-ValÉry C. E. Coumans
    • 1
  • A. Jay Khanna
    • 2
  • Isador H. Lieberman
    • 3
  1. 1.Department of NeurosurgeryMassachusetts General HospitalBoston
  2. 2.Johns Hopkins Orthopaedic Surgery at Good Samaritan HospitalBaltimore
  3. 3.The Cleveland Clinic Spine InstituteThe Cleveland Clinic FoundationAnn Arbor

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