Advances in Surgery for Metastatic Disease of the Spine: An Update for Oncologists
Abstract
Study Design Narrative review Objective Metastatic spine disease is an increasingly common clinical challenge that requires individualised multidisciplinary care from spine surgeons and oncologists. In this article, the authors describe the recent surgical advances in patients presenting with spinal metastases. Methods We present an overview of the presentation, assessment, and management of spinal metastases from the perspective of the spine surgeon, highlighting advances in surgical technology and techniques, to facilitate multidisciplinary care for this complex patient group. Neither institutional review board approval nor patient consent was needed for this review. Results Advances in radiotherapy delivery and systemic therapy (including immunotherapy and targeted therapy) have refined operative indications for decompression of neural structures and spinal stabilisation, while advances in surgical technology and technique enable these goals to be achieved with reduced morbidity. Formulating individualised management strategies that optimise outcome, while meeting patient goals and expectations, requires a comprehensive understanding of the factors important to patient management. Conclusion Spinal metastases require prompt diagnosis and expert management by a multidisciplinary team. Improvements in systemic, radiation, and surgical therapies have broadened operative indications and increased operative candidacy, and future advances are likely to continue this trend.
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BibTeX
@article{chienyewkowmbbs2026advances,
title = {{Advances in Surgery for Metastatic Disease of the Spine: An Update for Oncologists}},
author = {Chien Yew Kow MBBS, FRACS and Mendel Castle-Kirszbaum MBBS, PhD and Jeremy K.T. Kam MBBS, MMed, FRACS and Tony Goldschlager MBBS, DCH, FRACS, PhD},
journal = {Global Spine Journal},
year = {2026},
month = oct,
doi = {10.1177/21925682231155847},
url = {https://doi.org/10.1177/21925682231155847},
note = {CC BY},
}
RIS
TY - JOUR
TI - Advances in Surgery for Metastatic Disease of the Spine: An Update for Oncologists
AU - Chien Yew Kow MBBS, FRACS
AU - Mendel Castle-Kirszbaum MBBS, PhD
AU - Jeremy K.T. Kam MBBS, MMed, FRACS
AU - Tony Goldschlager MBBS, DCH, FRACS, PhD
PY - 2026
DA - 2026/10/31
JO - Global Spine Journal
DO - 10.1177/21925682231155847
UR - https://doi.org/10.1177/21925682231155847
AB - Study Design Narrative review Objective Metastatic spine disease is an increasingly common clinical challenge that requires individualised multidisciplinary care from spine surgeons and oncologists. In this article, the authors describe the recent surgical advances in patients presenting with spinal metastases. Methods We present an overview of the presentation, assessment, and management of spinal metastases from the perspective of the spine surgeon, highlighting advances in surgical technology and techniques, to facilitate multidisciplinary care for this complex patient group. Neither institutional review board approval nor patient consent was needed for this review. Results Advances in radiotherapy delivery and systemic therapy (including immunotherapy and targeted therapy) have refined operative indications for decompression of neural structures and spinal stabilisation, while advances in surgical technology and technique enable these goals to be achieved with reduced morbidity. Formulating individualised management strategies that optimise outcome, while meeting patient goals and expectations, requires a comprehensive understanding of the factors important to patient management. Conclusion Spinal metastases require prompt diagnosis and expert management by a multidisciplinary team. Improvements in systemic, radiation, and surgical therapies have broadened operative indications and increased operative candidacy, and future advances are likely to continue this trend.
SN - 2192-5682
SN - 2192-5690
ER -