李金洪 胡波 孙红振
With the evolution of surgical techniques, extensive use of implants, and increase of the demand for higher living quality in patients, the treatment concept of spinal metastatic tumors has gradually changed in recent years. Simple chemoradiotherapy has been gradually replaced by the active surgical treatment in combination with chemoradiotherapy. Surgical treatment begins to play a more and more important role in curing spinal metastatic tumors. However, there are no unified opinions about the selections of surgical timing and surgical approach so far. How to select the reasonable surgical treatment method becomes the most difficult in curing spinal metastatic tumors. Surgeons should cautiously balance the surgical risks and the postoperative improvement of the living quality, and make a reasonable surgical assessment. This review focuses on the recent advances in the preoperative evaluation and the treatment of spinal metastatic tumors.
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