Lumbosacral Metastatic Spine Disease

  • Andrew B. KayEmail author
  • Rex A. W. Marco


The treatment of metastatic disease to the lumbosacral region presents challenges and risks not found in other regions of the spine. Surgical management often requires resection and reconstruction, which may be complicated by complex anatomy and has unique biomechanical features. Although lesions may be resected from an anterior approach, a posterior approach is preferred to avoid critical neurovascular structures. Recommended techniques include a transpedicular resection followed by reconstruction and instrumentation with four total rods and pelvic bolts. This chapter reviews the relevant anatomy and biomechanics of lumbosacral metastatic disease, as well as the authors’ preferred operative technique and perioperative management.


Spine Metastatic Cancer Lumbosacral Lumbopelvic Metastasis 


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© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Orthopaedic SurgeryHouston Methodist HospitalHoustonUSA

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