An Analysis of Decision Making and Treatment in Thoracolumbar Metastases.

Nov 16, 2011 by

Polly DW Jr, Chou D, Sembrano JN, Ledonio CG, Tomita K.

Spine. 2009; 34: S118-S127.

PMID: 19829271

This systematic review attempted to determine the best approach for surgical treatment of thoracolumbar metastases. The evidence was mostly weak due to heterogeneity of both metastasis descriptions and procedures. Ultimately, they recommend a posterior approach for T2-T5 but lack consensus for T6-L5.  This is a good discussion of surgical approach.


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