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Complications in Surgical Management of Cervical Spinal Metastases

  • Giuseppe Tonini
  • Bruno Vincenzi
  • Chiara Spoto
  • Daniele Santini

Bone is the third most frequent metastatic site. The vertebral column is the most common site for bone metastases, with an incidence of 30–70% in patients with stage IV cancer [1]. Among patients with cancer, in 12–20%, the initial clinical presentation is spinal column metastases [2]. Furthermore, metastases are the most frequent spinal column cancer in the United States, with approximately 18,000 new cases diagnosed annually. Multiple lesions at noncontiguous levels occur in 10–40% of the cases. Breast, lung, and prostate cancers have been the most common malignancies with secondary spine involvement [3]. These are followed by renal cancer, gastrointestinal cancer, thyroid cancer, sarcoma, and the lympophoreticular malig-nances: lymphoma and multiple myeloma. Metastases from prostate cancer, breast cancer, melanoma, and lung cancer commonly cause spinal metastases in 90.5, 74.3, 54.5, and 44.9% of patients, respectively.

Keywords

Intensity Modulate Radiation Therapy Spinal Cord Compression Spinal Metastasis Percutaneous Vertebroplasty Hypervascular Tumor 
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

© Springer-Verlag Berlin Heidelberg 2010

Authors and Affiliations

  • Giuseppe Tonini
    • 1
  • Bruno Vincenzi
    • 1
  • Chiara Spoto
    • 1
  • Daniele Santini
    • 1
  1. 1.Department of Medical OncologyUniversity Campus Bio-MedicoRomeItaly

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