This Article Full Text Full Text (PDF) eLetters: Submit a response to this article Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Citation Map Services E-mail this article link to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Reprints/Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Bilsky, M. H. Articles by Boland, P. Search for Related Content PubMed PubMed Citation Articles by Bilsky, M. H. Articles by Boland, P.

The Diagnosis and Treatment of Metastatic Spinal Tumor

^a Surgery Department, ^b Neuroradiology Department, ^c Neurology Department, ^d Radiation Oncology Department, Memorial Sloan-Kettering Cancer Center, New York, New York, USA

Correspondence: Correspondence: Mark H. Bilsky, M.D., Division of Neurosurgery, Box 71, Memorial Sloan-Kettering Cancer Center, New York, New York 10021, USA. Telephone: 212-639-8526; Fax 212-717-3231; e-mail: Bilskym{at}mskcc.org

Metastases to the spine represent a challenging problem in an oncology practice. Treatment decisions require multidisciplinary review. Radiation therapy remains the primary treatment for metastatic spinal tumor, but advances in radiation therapy, chemotherapy, and surgery have changed the roles of each and lead to improved patient outcomes. Regardless of the treatment, diagnosis and treatment before the development of significant neurologic and functional deficits improve outcomes. Physician awareness and appropriate imaging greatly assist in the early detection of tumor.

Key Words. Spine metastases • Radiation therapy • Magnetic resonance imaging • Chemotherapy • Laminectomy • Posterolateral • Transcavitary • Transpedicular

This article has been cited by other articles:

				M. R Troyer Differential Diagnosis of Endometriosis in a Young Adult Woman With Nonspecific Low Back Pain Physical Therapy, June 1, 2007; 87(6): 801 - 810. [Abstract] [Full Text] [PDF]

				S. D. O'Connor, J. Yao, and R. M. Summers Lytic Metastases in Thoracolumbar Spine: Computer-aided Detection at CT--Preliminary Study Radiology, March 1, 2007; 242(3): 811 - 816. [Abstract] [Full Text] [PDF]

				P. Klimo Jr., C. J. Thompson, J. R.W. Kestle, and M. H. Schmidt A meta-analysis of surgery versus conventional radiotherapy for the treatment of metastatic spinal epidural disease Neuro-oncol, January 1, 2005; 7(1): 64 - 76. [Abstract] [PDF]

				P. Klimo Jr. and M. H. Schmidt Surgical Management of Spinal Metastases Oncologist, April 1, 2004; 9(2): 188 - 196. [Abstract] [Full Text] [PDF]

				U. Metser, H. Lerman, A. Blank, G. Lievshitz, F. Bokstein, and E. Even-Sapir Malignant Involvement of the Spine: Assessment by 18F-FDG PET/CT J. Nucl. Med., February 1, 2004; 45(2): 279 - 284. [Abstract] [Full Text] [PDF]