Less Invasive Surgical Approaches for Spine Metastases (p. 73-81)
Authors: Raphael Lotan and Joel A. Finkelstein
Abstract: Spinal metastases are a major cause of morbidity in patients due to the potential for neurological dysfunction and pain. Advances in chemotherapy and radiation therapy have increased patient life expectancy with metastatic disease, and consequently the overall incidence of metastases. This paper will highlight some of the changes in the surgical management of metastatic spine disease toward a more minimally invasive approach aimed at optimizing patient quality of life while still achieving traditional surgical goals. An overview of current surgical approaches, techniques, constructs, outcomes and complications will also be provided. The benefits and deficiencies of commonly practiced oncologic spine surgeries will be discussed, and less invasive palliative spinal surgery (LIPS) will be presented as a means of achieving surgical goals while minimizing complications.