Mid-cervical Metastatic Spinal Disease

  • Syed Uzair Ahmed
  • Zane Tymchak
  • Daryl R. FourneyEmail author


The subaxial cervical spine has unique anatomical features that affect the clinical manifestations and treatment of metastatic tumors. In this chapter, we review the epidemiology, pathogenesis, clinical presentation, diagnosis, and management of this condition. The importance of understanding the histopathology prior to making treatment decisions is emphasized. A treatment decision-making framework called LMNOP is reviewed. The rationale and methods of anterior, posterior, and combined surgical approaches are outlined. Lastly, we touch on perioperative complication avoidance.


Metastasis Cervical spine Surgery Radiation therapy Surgical approach 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Syed Uzair Ahmed
    • 1
  • Zane Tymchak
    • 2
  • Daryl R. Fourney
    • 3
    Email author
  1. 1.Division of NeurosurgeryUniversity of SaskatchewanSaskatoonCanada
  2. 2.Royal University HospitalSaskatoonCanada
  3. 3.Department of NeurosurgeryUniversity of Saskatchewan, Royal University HospitalSaskatoonCanada

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