Role of radiotherapy in the management of spine metastases

C M Díaz Silvera; I Azinovic; S L E Bolle; M Pérez Cobos; R Matute

doi:10.1016/j.recot.2023.05.010

Role of radiotherapy in the management of spine metastases

Rev Esp Cir Ortop Traumatol. 2023 Nov-Dec;67(6):542-551. doi: 10.1016/j.recot.2023.05.010. Epub 2023 May 26.

[Article in English, Spanish]

Authors

C M Díaz Silvera¹, I Azinovic², S L E Bolle³, M Pérez Cobos², R Matute³

Affiliations

¹ Oncología Radioterápica. Fundación Jiménez Díaz. Madrid, España. Electronic address: cmdiaz@quironsalud.es.
² Oncología Radioterápica. Fundación Jiménez Díaz. Madrid, España.
³ Oncología radioterápica. Centro de Protonterapia. Quironsalud. Madrid, España.

PMID: 37245636
DOI: 10.1016/j.recot.2023.05.010

Abstract

Spine metastases are a common cause of pain in the oncologic patient which can generate functional limitation, in addition to complications derived from spinal cord compression, radicular compression and fractures. A complex approach to these metastases is required due to the risk of permanent sequelae. With the increase in survival rates due to new emerging treatments, the possibilities of presenting vertebral metastases are increasing, therefore, the management of these lesions should be aimed at pain relief and maintenance of ambulation. Radiotherapy has a fundamental role in the management of these lesions, and technological advances in recent years have made it possible to improve the quality and intentionality of the treatments, going from having a palliative intent to proposing treatments that improve local control. In this article we describe how the stereotactic body radiotherapy (SBRT) technique, in selected patients, can improve local control and its value in oligometastatic patients and after surgery.

Keywords: Compresión medular; Metástasis vertebrales; Oncological; Oncológico; Radioterapia; Radiotherapy; SBRT; Spinal cord compression; Spine metastases.