A new era in the management of spinal metastasis

• DOI: 10.3389/fonc.2024.1374915
• Publication Date: 2024-04-16T04:47:56Z
• Authors: Tadatsugu Morimoto; Yu Toda; Michiyuki Hakozaki; Permsak Paholpak; Kazuyuki Watanabe; Kinshi Kato; Masatsugu Tsukamoto; Hirohito Hirata; Yoichi Kaneuchi; Yasunori Tome; Satomi Nagamine; Kotaro Nishida; Hiroo Katsuya; Yoshihiro Matsumoto; Koji Otani; Masaaki Mawatari; Takuya Nikaido
• Keywords: cancer locomo; Life expectancy; Spine Surgery Techniques and Technologies; Spinal Metastases; Population; Neurosurgery; Nursing; FOS: Health sciences; Pathology and Forensic Medicine; Metastasis; 03 medical and health sciences; 0302 clinical medicine; Health Sciences; Management of Spinal Metastatic Tumors; Paralysis; Internal medicine; RC254-282; Cancer; Orthopedic surgery; Quality of life (healthcare); Metastatic Epidural Spinal Cord Compression; Rehabilitation; Activities of daily living; Neoplasms. Tumors. Oncology. Including cancer and carcinogens; Pathophysiology of Lumbar Disc Degeneration and Treatment; minimally invasive spine surgery; Radiation therapy; Spinal Fusion; Environmental health; spinal metastasis; Oncology; multidisciplinary approach; Medicine; Surgery; Metastatic Spine Tumors; preemptive treatment; Physical therapy

Despite the recent advances in cancer treatment, incidence of patients with spinal metastases continues to grow along total number patients. Spinal can significantly impair activities daily living (ADL) and quality life (QOL), compared other types bone metastases, as they are characterized severe pain paralysis caused by skeletal-related events. Reduced ADL also lead treatment limitations certain anticancer agents radiation therapy not compatible treatments; thus, leading a shorter expectancy. Consequently, maintaining ADLs is paramount, spine surgeons have an integral role play this regard. However, neurosurgeon, orthopedic Japan do proactive approach which may prevent them from providing appropriate when needed (clinical inertia). To overcome such endemic inertia, it essential for 1) understand be more actively involved musculoskeletal disorders (cancer locomo) patients; 2) adoption multidisciplinary (coordination meetings only attending oncologist but surgeons, radiologists, rehabilitation specialists, professionals) preemptive medication, radiotherapy, surgical treatment; 3) integration latest findings associated minimally invasive treatments that expanded indications improved outcomes. This heralds new era management metastases.