Metastatic Spine Disease A Guide to Diagnosis and Management

This comprehensive text focuses exclusively on the management of metastatic spinal disease, evaluating the most recent literature and providing patient-centered treatment algorithms. Beginning with initial imaging, classification and clinical decision-mak

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Metastatic Spine Disease

Rex A. W. Marco Editor

Metastatic Spine Disease A Guide to Diagnosis and Management

Editor Rex A. W. Marco, MD Department of Orthopedic Surgery Houston Methodist Hospital Houston, Texas, USA

ISBN 978-3-319-76251-7    ISBN 978-3-319-76252-4 (eBook) https://doi.org/10.1007/978-3-319-76252-4 Library of Congress Control Number: 2018941251 © Springer International Publishing AG, part of Springer Nature 2018 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Printed on acid-free paper This Springer imprint is published by the registered company Springer International Publishing AG part of Springer Nature The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

Foreword

The management of spinal metastasis is the latest horizon in musculoskeletal oncology. A new generation of clinicians brings transdisciplinary skills to catapult this field forward. With in-depth training in both oncologic and spinal surgery, surgeons can now approach these diseases in a more ambitious and sophisticated fashion. Focused collaboration between specialties is the strategy that underlies the modern approach to spinal metastases. It is captured in the chapters of this book, authored by the leading practitioners of this science and art form. Historically, the anatomic interplay of neural, vascular, and osseous elements in a three-dimensional array dissuaded investigators and surgeons from tackling cancer, especially metastases, in the spine. Medicine’s aversion to treating spinal metastases is more conspicuous because this location is the most prevalent site of skeletal metastases and a principal cause of pain and morbidity in metastatic cancers. Several advances in oncology over the course of the last century have finally come together to give oncologists of all descriptions the conceptual and technical tools to handle cancers affect