Abstract
To provide an overview of the presentation, diagnosis and management of spinal metastatic disease, as it relates to pain, function, and quality of life. There are a multitude of treatment options to address spinal metastatic disease, including radiotherapy, minimally invasive procedures, oral medications, and surgery. Treatment is individualized to the patient according to severity of symptoms, location of metastases, and concordant medical conditions. Patients may require treatments across several subspecialties to comprehensively treat their disease. The location and nature of metastatic disease within the spine are important, and an assessment of the patient’s neurologic status throughout treatment is essential in order to optimize patient function, to successfully manage pain when present, and to identify early potentially catastrophic changes. It is necessary to use a multidisciplinary approach to address spinal metastatic disease, and there have been great advancements in terms of variety of available treatments.
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