Algorithm for Management of Solitary Spinal Metastases

Vol 32| Issue 1 | Jan – June 2019 | page: 23-26 | Suresh S. Pillai, Ali Sabith, Jim Thomas Malayil

Authors: Suresh S. Pillai [¹], Ali Sabith [¹], Jim Thomas Malayil [¹]

[1] Baby Memorial Hospital, Calicut, Kerala, India.

Address of Correspondence
Dr. Suresh S. Pillai,
Consultant Spine Surgeon,
Baby Memorial Hospital Calicut, Kerala, India


Spine is the most frequent site of spinal metastasis after liver and lung due to its extensive arterial supply. The cancer tissue replaces the spinal elements leading to its destruction and resultant instability and compression of the neural structures 4. 10% of tumor patients develop asymptomatic spinal metastasis and spinal cord compression(5,6). The purpose of treating patients with spinal metastasis are to relieve pain, stabilizing spinal structures , recovering or maintain neural function, controlling the metastasis in the local area and improving quality of life. This goal is achieved through a multidisciplinary approach. The aim of this article is to describe an algorithm for the management of solitary spinal metastasis. Different factors need consideration in planning treatment for solitary metastasis. Age, quality of life, tumor borders etc should be discussed in detail with the patient and his/her care givers. A multidisciplinary approach and a tumor board meeting would bring out the right choice for a given patient. Treatment may vary from irradiation, biopsy/surgery, chemotherapy, immuno-modulation, hormone therapy or palliative treatment alone
Keywords: Metastasis Spine, Solitary, Algorithm


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How to Cite this Article:Pillai S S, Sabith A, Malayil J T. Algorithm for Management of Solitary Spinal Metastases. Kerala Journal of Orthopaedics Jan-June 2019; 32(1): 23-26 .

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