Management of recurrent or progressive spinal metastases: reirradiation techniques and surgical principles.

ABSTRACT: With the growing incidence of new cases and the increasing prevalence of patients living longer with spine metastasis, a methodological approach to the management of patients with recurrent or progressive disease is increasing in relevance and importance in clinical practice. As a result, disease management has evolved in these patients using advanced surgical and radiotherapy technologies. Five key goals in the management of patients with spine metastases include providing pain relief, controlling metastatic disease at the treated site, improving neurologic deficits, maintaining or improving functional status, and minimizing further mechanical instability. The focus of this review is on advanced reirradiation techniques, given that the majority of patients will be treated with upfront con

SUBMITTER: Kotecha R 

PROVIDER: S-EPMC7705530 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature