Management of Metastatic Spinal Disease – A Practical Approach
Abstract
Study Design Narrative review. Objective This review presents a comprehensive approach to the management of spinal metastases. Methods N/A. Results The wide spectrum of clinical presentation in spinal metastases necessitates a personalized approach to treatment planning. This includes a comprehensive diagnostic workup, oncological management, palliation of symptoms, and surgical intervention if appropriate. A systematic and multidisciplinary approach allows optimal shared decision making to reach an evidence-informed and value-congruent treatment plan for the patient. We highlight how advances in stereotactic body radiotherapy (SBRT) and separation surgery may be incorporated into clinical management from a spine surgeon’s perspective. Conclusion This review summarizes the approach and management of spinal metastases, its outcomes and complications.
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BibTeX
@article{grahamkahonsheambbs2026management,
title = {{Management of Metastatic Spinal Disease – A Practical Approach}},
author = {Graham Ka Hon Shea MBBS, PhD, Ed, FHKCOS, FHKAM and Kenny Yat Hong Kwan BMBCh, Ed, FHKCOS, FHKAM},
journal = {Global Spine Journal},
year = {2026},
month = oct,
doi = {10.1177/21925682231173646},
url = {https://doi.org/10.1177/21925682231173646},
note = {CC BY},
}
RIS
TY - JOUR
TI - Management of Metastatic Spinal Disease – A Practical Approach
AU - Graham Ka Hon Shea MBBS, PhD, Ed, FHKCOS, FHKAM
AU - Kenny Yat Hong Kwan BMBCh, Ed, FHKCOS, FHKAM
PY - 2026
DA - 2026/10/31
JO - Global Spine Journal
DO - 10.1177/21925682231173646
UR - https://doi.org/10.1177/21925682231173646
AB - Study Design Narrative review. Objective This review presents a comprehensive approach to the management of spinal metastases. Methods N/A. Results The wide spectrum of clinical presentation in spinal metastases necessitates a personalized approach to treatment planning. This includes a comprehensive diagnostic workup, oncological management, palliation of symptoms, and surgical intervention if appropriate. A systematic and multidisciplinary approach allows optimal shared decision making to reach an evidence-informed and value-congruent treatment plan for the patient. We highlight how advances in stereotactic body radiotherapy (SBRT) and separation surgery may be incorporated into clinical management from a spine surgeon’s perspective. Conclusion This review summarizes the approach and management of spinal metastases, its outcomes and complications.
SN - 2192-5682
SN - 2192-5690
ER -