Metastatic spine disease in the elderly: Diagnostic and management considerations

Byung C. Yoon, Camilo Molina, Ziya L. Gokaslan, Daniel Sciubba

Research output: Contribution to journalArticle

Abstract

Metastatic spine disease is becoming a more frequent problem in cancer patients as advancements in treatment for primary tumors prolong patient survival. Elderly patients over 60 years of age make up the majority of these cases, with the incidence of metastatic disease several folds higher in the elderly than in any other age group. These patients are also the most challenging group to treat, given higher rates of comorbidities and decreased tolerance to medical, surgical and radiation therapies. Advancements in therapeutic strategies, including minimally invasive surgeries and stereotactic radiosurgery, have provided increasingly attractive treatment options for elderly patients owing to their decreased procedure-associated morbidity. This article will discuss efficacy and limitations of conventional, as well as more recent, treatment modalities with an emphasis on their role in the management of elderly patients.

Original languageEnglish (US)
Pages (from-to)607-617
Number of pages11
JournalAging Health
Volume7
Issue number4
DOIs
StatePublished - Aug 2011

Fingerprint

Spine
Minimally Invasive Surgical Procedures
Radiosurgery
Therapeutics
Comorbidity
Neoplasms
Radiotherapy
Age Groups
Morbidity
Survival
Incidence

Keywords

  • geriatrics
  • metastasis
  • minimally invasive surgery
  • radiosurgery
  • spine
  • stereotactic
  • tumor

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Medicine(all)

Cite this

Metastatic spine disease in the elderly : Diagnostic and management considerations. / Yoon, Byung C.; Molina, Camilo; Gokaslan, Ziya L.; Sciubba, Daniel.

In: Aging Health, Vol. 7, No. 4, 08.2011, p. 607-617.

Research output: Contribution to journalArticle

Yoon, Byung C. ; Molina, Camilo ; Gokaslan, Ziya L. ; Sciubba, Daniel. / Metastatic spine disease in the elderly : Diagnostic and management considerations. In: Aging Health. 2011 ; Vol. 7, No. 4. pp. 607-617.
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