Diagnosis and Management of Metastatic Cervical Spine Tumors

Camilo A. Molina, Ziya L. Gokaslan, Daniel M. Sciubba

Research output: Contribution to journalReview article

Abstract

The bony spine is overall the third most common site for distant cancer metastasis, with the cervical spine involved in approximately 8 to 20% of metastatic spine disease cases. Diagnosis and management of metastatic spine disease requires disease categorization into the compartment involved, pathology of the lesion, and anatomic region involved. The diagnostic approach should commence with careful physical examination, and the workup should include plain radiographs, magnetic resonance imaging, computed tomography, and bone scintigraphy. Management ranges from palliative nonoperative to aggressive surgical treatment. Optimal management requires proper patient selection to individualize the most appropriate treatment modality.

Original languageEnglish (US)
Pages (from-to)75-87
Number of pages13
JournalOrthopedic Clinics of North America
Volume43
Issue number1
DOIs
StatePublished - Jan 1 2012

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Keywords

  • Cervical spine tumors
  • Metastasis
  • Palliative therapy
  • Vertebrectomy

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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