Surgical management of cervical spine metastatic disease

Ajeya P. Joshi, Frank X. Pedlow, Francis J. Hornicek, Andrew C. Hecht

Research output: Contribution to journalReview articlepeer-review

3 Scopus citations

Abstract

Metastatic disease to the cervical spine is a relatively infrequent occurrence. Management requires a multidisciplinary approach, and nonoperative treatment is often successful. There are specific indications for surgical intervention for cervical spine metastases, including instability, neurologic deterioration from compression by bone or soft tissue, progressive deformity threatening neurologic compromise, pain unresponsive to nonoperative measures, and the need for biopsy material for tissue diagnosis. Successful surgical strategies take into consideration tumor location, tumor type, medical comorbidities, and overall patient prognosis. Different reconstructive challenges exist in the occipitocervical and subaxial regions. In both regions the surgeon must ensure that the reconstruction accomplishes neurologic decompression and affords enough stability to minimize external immobilization postoperatively and maximize patient function. Newer techniques of instrumentation and alternatives to surgical reconstruction such as vertebroplasty need further evaluation and assessment of intermediate-term results before assuming a prominent role in the treatment of cervical metastatic disease.

Original languageEnglish
Pages (from-to)224-231
Number of pages8
JournalCurrent Opinion in Orthopaedics
Volume13
Issue number3
DOIs
StatePublished - 2002
Externally publishedYes

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