01 — Overview
For metastatic disease, which accounts for most tumors found in the spine, surgery is generally directed at relieving pressure on the spinal cord and restoring mechanical stability so that oncologic treatment can proceed. Planning happens together with medical and radiation oncology.
02 — Who it suits
- Metastatic disease with spinal cord compression
- Pathologic fracture or impending instability
- Progressive neurological deficit from tumor
- Selected primary spine tumors
03 — How it is done
The spinal cord is decompressed where needed and the segment stabilized above and below the affected levels. Where the vertebral body has been destroyed, it is reconstructed. Biopsy tracts are planned so that they can be addressed at any later definitive surgery.
04 — Recovery
Recovery is coordinated with the oncologic treatment schedule, and radiation usually follows once the wound has healed. Pain control and preserved function are the priorities.
05 — Conditions treated
- Spinal Tumors Tumors affecting the spine, which can cause pain, neurological deficits, and spinal instability, requiring surgical removal or stabilization.
- Spine Trauma Breaks or cracks in the vertebrae caused by trauma, osteoporosis, or other conditions, leading to pain and potential neurological damage.
Timelines and techniques described here are general. Your own plan depends on your anatomy, your imaging and your medical history, and is decided with you at consultation.
