An integrated multidisciplinary algorithm for the management of spinal metastases: An International Spine Oncology Consortium report Journal Article
| Authors: | Spratt, D. E.; Beeler, W. H.; de Moraes, F. Y.; Rhines, L. D.; Gemmete, J. J.; Chaudhary, N.; Shultz, D. B.; Smith, S. R.; Berlin, A.; Dahele, M.; Slotman, B. J.; Younge, K. C.; Bilsky, M.; Park, P.; Szerlip, N. J. |
| Article Title: | An integrated multidisciplinary algorithm for the management of spinal metastases: An International Spine Oncology Consortium report |
| Abstract: | Spinal metastases are becoming increasingly common because patients with metastatic disease are living longer. The close proximity of the spinal cord to the vertebral column limits many conventional therapeutic options that can otherwise be used to treat cancer. In response to this problem, an innovative multidisciplinary approach has been developed for the management of spinal metastases, leveraging the capabilities of image-guided stereotactic radiosurgery, separation surgery, vertebroplasty, and minimally invasive local ablative approaches. In this Review, we discuss the variables that should be considered during the management of these patients and review the role of each discipline and their respective management options to provide optimal care. This work is synthesised into a practical algorithm to aid clinicians in the management of patients with spinal metastasis. © 2017 Elsevier Ltd |
| Keywords: | cancer survival; treatment outcome; treatment response; cancer surgery; overall survival; review; salvage therapy; cancer risk; multimodality cancer therapy; patient selection; cancer radiotherapy; comparative study; radiation dose; combined modality therapy; cancer staging; nuclear magnetic resonance imaging; positron emission tomography; magnetic resonance imaging; cancer diagnosis; sensitivity and specificity; cancer palliative therapy; cancer immunotherapy; cancer prevention; congresses as topic; opiate; exercise; tomography, x-ray computed; bisphosphonic acid derivative; steroid; bone pain; cancer pain; patient assessment; diagnostic imaging; algorithms; risk assessment; patient care; karnofsky performance status; algorithm; paracetamol; nonsteroid antiinflammatory agent; tramadol; decompression surgery; radiosurgery; spinal cord compression; decompression, surgical; spinal neoplasms; fluorodeoxyglucose f 18; patient safety; scoring system; organization; interdisciplinary communication; intermethod comparison; radiosensitivity; clinical decision making; goal attainment; reliability; validity; electromyography; stereotactic radiosurgery; radiotherapy, conformal; external beam radiotherapy; morphine; drug dose titration; radiofrequency ablation; stereotactic body radiation therapy; treatment contraindication; conceptual framework; neurological complication; tumor vascularization; hydromorphone; analgesia; neuropathic pain; life expectancy; internationality; functional status; physical capacity; ablation therapy; spinal cord metastasis; international cooperation; fentanyl; gabapentin; oxycodone; nerve block; teamwork; performance status; spine tumor; conformal radiotherapy; pregabalin; codeine; minimally invasive procedure; spine instability; breakthrough pain; secondary; percutaneous vertebroplasty; spine stabilization; inflammatory pain; myelography; cancer rehabilitation; procedures; muscle strength; oncological parameters; spine injury; radicular pain; arterial embolization; cancer prognosis; disease burden; operative blood loss; humans; human; male; female; priority journal; x-ray computed tomography; image guided spinal tumor ablation; image guided stereotactic radiosurgery; integrated multidisciplinary algorithm; minimally invasive vertebral augmentation technique; neurointerventional radiology; spine instability neoplastic score; spine myelography |
| Journal Title: | Lancet Oncology |
| Volume: | 18 |
| Issue: | 12 |
| ISSN: | 1470-2045 |
| Publisher: | Elsevier Science, Inc. |
| Date Published: | 2017-12-01 |
| Start Page: | e720 |
| End Page: | e730 |
| Language: | English |
| DOI: | 10.1016/s1470-2045(17)30612-5 |
| PUBMED: | 29208438 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Review -- Export Date: 2 January 2018 -- Source: Scopus |
