When Would Minimally Invasive Spinal Surgery Not Be Preferable for Metastatic Spine Disease?

Background: Metastatic spine tumor surgery (MSTS) is an important treatment modality of metastatic spinal disease (MSD). Open spine surgery (OSS) was previously the gold standard of treatment till the early 2010s. However, advancements in MSTS in recent years have led to the advent of minimally invasive spinal surgery (MISS) techniques for the treatment of MSD.

Implant and construct decision-making in metastatic spine tumour surgery: a review of current concepts with a decision-making algorithm.

Study Design: Narrative Review.

Objective: Metastatic spine tumour surgery (MSTS) is an important treatment modality of metastatic spinal disease (MSD). Increase in MSTS has been due to improvements in our oncological treatment, as patients have increased longevity and even those with poorer comorbidities are now being considered for surgery.