TY - JOUR
T1 - Use of "MAPs" for determining the optimal surgical approach to metastatic disease of the thoracolumbar spine
T2 - anterior, posterior, or combined. Invited submission from the Joint Section Meeting on Disorders of the Spine and Peripheral Nerves, March 2004.
AU - Fourney, Daryl R.
AU - Gokaslan, Ziya L.
PY - 2005/1
Y1 - 2005/1
N2 - The surgical treatment of thoracolumbar metastases is controversial, and various approaches have been described. No single approach, however, is always applicable, and the optimal surgical strategy for any individual is determined by several interrelated factors. The authors have grouped these factors into four preoperative planning considerations that form the mnemonic "MAPS": 1) method of resection; 2) anatomy of spinal disease; 3) patient's level of fitness; and 4) stabilization. The choice of approach is also considered in light of the goals of surgery, including the relief of pain, neurological palliation, spinal stabilization, and oncological control.
AB - The surgical treatment of thoracolumbar metastases is controversial, and various approaches have been described. No single approach, however, is always applicable, and the optimal surgical strategy for any individual is determined by several interrelated factors. The authors have grouped these factors into four preoperative planning considerations that form the mnemonic "MAPS": 1) method of resection; 2) anatomy of spinal disease; 3) patient's level of fitness; and 4) stabilization. The choice of approach is also considered in light of the goals of surgery, including the relief of pain, neurological palliation, spinal stabilization, and oncological control.
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U2 - 10.3171/spi.2005.2.1.0040
DO - 10.3171/spi.2005.2.1.0040
M3 - Article
C2 - 15658125
AN - SCOPUS:13844298266
VL - 2
SP - 40
EP - 49
JO - Journal of Neurosurgery: Spine
JF - Journal of Neurosurgery: Spine
SN - 1547-5654
IS - 1
ER -