• Hannah Morehouse
  • Adedayo O. Ashana


Complications can occur at every step in the treatment of patients with metastatic spine disease. An appropriate initial evaluation, including physical exam, labs, imaging, and biopsy, provides the key structure to maximize quality of life and length of survival. By the time patients have spine metastases, they have advanced disease; therefore, the primary goal of treatment is palliative for pain control and improved functional status. Since the details of chemo and radiation therapy are beyond the scope of this text, this chapter focuses on surgical treatment and its associated complications. Each step in the evaluation process, starting with preoperative diagnosis to surgical intervention, has certain risks than can be avoided or reduced through awareness of said complications. This chapter discusses the preoperative and operative assessment of patients with metastatic spine disease, with an emphasis of the complications that can occur at every step of the process.


Metastatic spine Complications Preoperative Biopsy Staging Comorbidities Palliative surgery 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Hannah Morehouse
    • 1
  • Adedayo O. Ashana
    • 2
  1. 1.Department of Orthopedic SurgeryHouston Methodist HospitalHoustonUSA
  2. 2.Department of Orthopedic Spine SurgeryOSS HealthYorkUSA

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