Journal
LIFE-BASEL
Volume 12, Issue 4, Pages -Publisher
MDPI
DOI: 10.3390/life12040571
Keywords
spinal metastasis; palliative care; quality of life; radiotherapy; radiofrequency ablation; vertebral augmentation; spinal cord stimulation
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Spine is the most common site for metastatic disease involvement, and its therapeutic management poses challenges due to the close relationship with the spinal cord. Metastatic spinal cord disease can lead to neurological sequelae, significantly impacting the quality of life in patients with limited life expectancy. The most updated palliative care has a positive impact on spinal metastases.
Spine represents the most common site for metastatic disease involvement. Due to the close relationship between the spinal cord and critical structures, therapeutical management of metastatic spinal cord disease remains challenging. Spinal localization can lead to neurological sequelae, which can significantly affect the quality of life in patients with a limited life expectancy. The authors conducted a systematic literature review according to PRISMA guidelines in order to determine the impact of the most updated palliative care on spinal metastases. The initial literature search retrieved 2526 articles, manually screened based on detailed exclusion criteria. Finally, 65 studies met the inclusion criteria and were finally included in the systematic review. In the wide scenario of palliative care, nowadays, recent medical or surgical treatments represent valuable options for ameliorating pain and improving patients QoL in such this condition.
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