Spinal metastases: current trends at solving problems

Metastasis of malignant tumors to the spine is a common problem in cancer patients and occurs through the hematogenous route. The main symptoms of spinal metastases are pain and neurological disorders. Modern imaging methods make it possible to verify tumor metastases. Indications for surgical treatments are determined with the help of prognostic scales, which also can help predict the treatment results. The optimal treatment is the combination of surgical treatment and radiation therapy. The sequence of surgical treatment and radiation therapy is still debatable. Systemic therapy is also an integral part of long-term control of spinal metastases and depends on the histological structure of the tumor and its ability to respond to drug exposure. Today there is no consensus and an unambiguous standardized, scientifically substantiated approach to solve the existing problem. However, further study of it will be able to provide the choice of the optimal algorithm for curation of patients with metastatic spinal lesions.

prognostics scales, surgical treatment of spinal metastases, radiation therapy, management of metastatic spine disease, prognostics factors in patients with spinal metastases, scoring system for preoperative evaluation of metastatic spine tumor prognosis