An integrated multidisciplinary algorithm for the management of spinal metastases: an International Spine Oncology Consortium report

Daniel E. Spratt; Whitney H. Beeler; Fabio Y. de Moraes; Laurence D. Rhines; Joseph J. Gemmete; Neeraj Chaudhary; David B. Shultz; Sean R. Smith; Alejandro Berlin; Max Dahele; Ben J. Slotman; Kelly C. Younge; Mark Bilsky; Paul Park; Nicholas J. Szerlip

doi:10.1016/S1470-2045(17)30612-5

An integrated multidisciplinary algorithm for the management of spinal metastases: an International Spine Oncology Consortium report

Daniel E. Spratt, Whitney H. Beeler, Fabio Y. de Moraes, Laurence D. Rhines, Joseph J. Gemmete, Neeraj Chaudhary, David B. Shultz, Sean R. Smith, Alejandro Berlin, Max Dahele, Ben J. Slotman, Kelly C. Younge, Mark Bilsky, Paul Park, Nicholas J. Szerlip

Neurosurgery

Research output: Contribution to journal › Review article › peer-review

199 Scopus citations

Abstract

Spinal metastases are becoming increasingly common because patients with metastatic disease are living longer. The close proximity of the spinal cord to the vertebral column limits many conventional therapeutic options that can otherwise be used to treat cancer. In response to this problem, an innovative multidisciplinary approach has been developed for the management of spinal metastases, leveraging the capabilities of image-guided stereotactic radiosurgery, separation surgery, vertebroplasty, and minimally invasive local ablative approaches. In this Review, we discuss the variables that should be considered during the management of these patients and review the role of each discipline and their respective management options to provide optimal care. This work is synthesised into a practical algorithm to aid clinicians in the management of patients with spinal metastasis.

Original language	English (US)
Pages (from-to)	e720-e730
Journal	The lancet oncology
Volume	18
Issue number	12
DOIs	https://doi.org/10.1016/S1470-2045(17)30612-5
State	Published - Dec 2017

ASJC Scopus subject areas

Oncology

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10.1016/S1470-2045(17)30612-5

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Spratt, D. E., Beeler, W. H., de Moraes, F. Y., Rhines, L. D., Gemmete, J. J., Chaudhary, N., Shultz, D. B., Smith, S. R., Berlin, A., Dahele, M., Slotman, B. J., Younge, K. C., Bilsky, M., Park, P., & Szerlip, N. J. (2017). An integrated multidisciplinary algorithm for the management of spinal metastases: an International Spine Oncology Consortium report. The lancet oncology, 18(12), e720-e730. https://doi.org/10.1016/S1470-2045(17)30612-5

Spratt, DE, Beeler, WH, de Moraes, FY, Rhines, LD, Gemmete, JJ, Chaudhary, N, Shultz, DB, Smith, SR, Berlin, A, Dahele, M, Slotman, BJ, Younge, KC, Bilsky, M, Park, P & Szerlip, NJ 2017, 'An integrated multidisciplinary algorithm for the management of spinal metastases: an International Spine Oncology Consortium report', The lancet oncology, vol. 18, no. 12, pp. e720-e730. https://doi.org/10.1016/S1470-2045(17)30612-5

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title = "An integrated multidisciplinary algorithm for the management of spinal metastases: an International Spine Oncology Consortium report",

abstract = "Spinal metastases are becoming increasingly common because patients with metastatic disease are living longer. The close proximity of the spinal cord to the vertebral column limits many conventional therapeutic options that can otherwise be used to treat cancer. In response to this problem, an innovative multidisciplinary approach has been developed for the management of spinal metastases, leveraging the capabilities of image-guided stereotactic radiosurgery, separation surgery, vertebroplasty, and minimally invasive local ablative approaches. In this Review, we discuss the variables that should be considered during the management of these patients and review the role of each discipline and their respective management options to provide optimal care. This work is synthesised into a practical algorithm to aid clinicians in the management of patients with spinal metastasis.",

author = "Spratt, {Daniel E.} and Beeler, {Whitney H.} and {de Moraes}, {Fabio Y.} and Rhines, {Laurence D.} and Gemmete, {Joseph J.} and Neeraj Chaudhary and Shultz, {David B.} and Smith, {Sean R.} and Alejandro Berlin and Max Dahele and Slotman, {Ben J.} and Younge, {Kelly C.} and Mark Bilsky and Paul Park and Szerlip, {Nicholas J.}",

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doi = "10.1016/S1470-2045(17)30612-5",

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AU - Rhines, Laurence D.

AU - Gemmete, Joseph J.

AU - Chaudhary, Neeraj

AU - Shultz, David B.

AU - Smith, Sean R.

AU - Berlin, Alejandro

AU - Dahele, Max

AU - Slotman, Ben J.

AU - Younge, Kelly C.

AU - Bilsky, Mark

AU - Park, Paul

AU - Szerlip, Nicholas J.

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AB - Spinal metastases are becoming increasingly common because patients with metastatic disease are living longer. The close proximity of the spinal cord to the vertebral column limits many conventional therapeutic options that can otherwise be used to treat cancer. In response to this problem, an innovative multidisciplinary approach has been developed for the management of spinal metastases, leveraging the capabilities of image-guided stereotactic radiosurgery, separation surgery, vertebroplasty, and minimally invasive local ablative approaches. In this Review, we discuss the variables that should be considered during the management of these patients and review the role of each discipline and their respective management options to provide optimal care. This work is synthesised into a practical algorithm to aid clinicians in the management of patients with spinal metastasis.

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An integrated multidisciplinary algorithm for the management of spinal metastases: an International Spine Oncology Consortium report

Abstract

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