Evidence-based review of the surgical management of vertebral column metastatic disease.

Timothy C. Ryken, Kurt M. Eichholz, Peter C. Gerszten, William C. Welch, Ziya L. Gokaslan, Daniel K. Resnick

Research output: Contribution to journalReview articlepeer-review

Abstract

OBJECT: Significant controversy exists over the most appropriate treatment for patients with metastatic disease of the vertebral column. Treatment options include surgical intervention, radiotherapy, or a combination of the two; nevertheless, a standard of care that yields the best survival, outcome, and quality of life has not been established. The purpose of this review was to determine the foundation in the literature of views favoring surgical intervention for spinal metastatic disease. METHODS: A search of the English-language literature published between 1964 and 2003 was performed for the subject of spinal metastatic disease. Papers were selected based on the inclusion criteria described, and evidentiary information was compiled and graded using previously described methods. CONCLUSIONS: Although there is insufficient evidence to support a standard for surgical treatment in patients with metastatic spinal disease, the authors present guidelines and recommendations based on the evidence provided by the current literature.

Original languageEnglish (US)
Pages (from-to)E11
JournalNeurosurgical focus
Volume15
Issue number5
DOIs
StatePublished - Nov 15 2003
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Fingerprint

Dive into the research topics of 'Evidence-based review of the surgical management of vertebral column metastatic disease.'. Together they form a unique fingerprint.

Cite this