Spinal Metastasis: Brief State of the Art Review Metástases Vertebrais: Breve Revisão do Estado da Arte

Abstract

The treatment of spinal metastasis has undergone a significant evolution in recent years, with the technological development of stereotactic radiosurgery, new combinations of chemotherapy and immunotherapy, based on a new genetic subclassification of some tumors, allowing more personalized therapeutic plans and at an earlier stage in the course of the disease. Surgery plays an essential role in the treatment of pain, mechanical instability and neurological deterioration caused by tumor infiltration. The need for a less aggressive cytoreduction coupled with the use of less invasive surgical techniques allows a faster recovery and lower morbidity.
The diagnostic evaluation and therapeutic orientation of spinal metastatic disease should, like in many other fields of medicine and in particular of oncology, be subject to a multidisciplinary approach and decision. The objective is to individualize the treatment plan that best serves the specific interests of each patient, taking into account the multiple options available.

Received: 20/08/2017 - Accepted: 04/09/2017