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Minimally Invasive Approaches to Spinal Metastases

Endoscopic Surgery and Vertebral Augmentation

  • Chapter
Book cover Cancer in the Spine

Part of the book series: Current Clinical Oncology ((CCO))

Abstract

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.

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Author information

Authors and Affiliations

  1. Department of Neurosurgery, Massachusetts General Hospital, Boston, MA

    Jean-ValÉry C. E. Coumans MD

  2. Johns Hopkins Orthopaedic Surgery at Good Samaritan Hospital, Baltimore, MD

    A. Jay Khanna MD

  3. The Cleveland Clinic Spine Institute, The Cleveland Clinic Foundation, Ann Arbor, MI

    Isador H. Lieberman MD

Authors
  1. Jean-ValÉry C. E. Coumans MD
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  2. A. Jay Khanna MD
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  3. Isador H. Lieberman MD
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Editor information

Editors and Affiliations

  1. Lerner College of Medicine and The Cleveland Clinic Spine Institute Department of Orthopaedic Surgery, The Cleveland Clinic Foundation, Cleveland, OH

    Robert F. McLain MD

  2. The Cleveland Clinic Spine Institute, The Cleveland Clinic Foundation, Cleveland, OH

    Kai-Uwe Lewandrowski MD  & Edward C. Benzel MD, FACS  & 

  3. University of Texas M. D. Anderson Cancer Center, Houston, TX

    Maurie Markman MD

  4. Taussig Cancer Center, The Cleveland Clinic Foundation, Cleveland, OH

    Ronald M. Bukowski MD

  5. Department of Radiation Oncology, The Cleveland Clinic Foundation, Cleveland, OH

    Roger Macklis MD

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© 2006 Humana Press, Inc., Totowa, NJ

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Coumans, JV.C.E., Khanna, A.J., Lieberman, I.H. (2006). Minimally Invasive Approaches to Spinal Metastases. In: McLain, R.F., Lewandrowski, KU., Markman, M., Bukowski, R.M., Macklis, R., Benzel, E.C. (eds) Cancer in the Spine. Current Clinical Oncology. Humana Press. https://doi.org/10.1007/978-1-59259-971-4_34

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  • DOI: https://doi.org/10.1007/978-1-59259-971-4_34

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-074-8

  • Online ISBN: 978-1-59259-971-4

  • eBook Packages: MedicineMedicine (R0)

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