4.4 Review

Clinical Therapy of Metastatic Spinal Tumors

Journal

FRONTIERS IN SURGERY
Volume 8, Issue -, Pages -

Publisher

FRONTIERS MEDIA SA
DOI: 10.3389/fsurg.2021.626873

Keywords

metastatic spinal tumor; surgical management; minimally invasive therapy; radiation therapy; systemic therapy

Categories

Funding

  1. National Natural Science Foundation of China [51873207, 51803006, 51673190, 51603204, 51673187, 51520105004]
  2. National Key Research and Development Program of China [2016YFC1100701]
  3. Youth Innovation Promotion Association of Chinese Academy of Sciences [2019005]

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This review examines the current therapeutic options for metastatic spinal tumors (MST) in terms of surgical management, minimally invasive therapy (MIT), radiation therapy, and systemic therapy. It highlights the trends towards radiation therapy and MIT in clinical therapies, as well as discussing future directions for these treatment options to improve the living standards and treatment outcomes for patients with MST.
Metastatic spinal tumors (MST) have high rates of morbidity and mortality. MST can destroy the vertebral body or compress the nerve roots, resulting in an increased risk of pathological fractures and intractable pain. Here, we elaborately reviewed the currently available therapeutic options for MST according to the following four aspects: surgical management, minimally invasive therapy (MIT), radiation therapy, and systemic therapy. In particular, these aspects were classified and introduced to show their developmental process, clinical effects, advantages, and current limitations. Furthermore, with the improvement of treatment concepts and techniques, we discovered the prevalent trend toward the use of radiation therapy and MIT in clinic therapies. Finally, the future directions of these treatment options were discussed. We hoped that along with future advances and study will lead to the improvement of living standard and present status of treatment in patients with MST.

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