TY - JOUR
T1 - Radiotherapy and surgery
T2 - can this combination be further optimized for patients with metastatic spine disease?
AU - Amelink, Jantijn J.G.J.
AU - Bindels, Bas J.J.
AU - Kasperts, Nicolien
AU - MacDonald, Shannon M.
AU - Tobert, Daniel G.
AU - Verlaan, Jorrit Jan
N1 - Publisher Copyright:
© The Author(s) 2025. Published by Oxford University Press.
PY - 2025/1
Y1 - 2025/1
N2 - This narrative review provides a comprehensive overview of the current status, recent advancements, and future directions in the management of metastatic spine disease using both radiotherapy and surgery. Emphasis has been put on the integrated use of radiotherapy and surgery, incorporating recent developments such as separation surgery, active dose sparing of the surgical field, and the implementation of carbon fiber-reinforced polymer implants. Future studies should explore the effects of minimizing the time between radiotherapy and surgery and investigate the potential of vertebral re-ossification after radiotherapy to obviate the need for stabilization surgery. Concerted efforts should be directed toward fostering multidisciplinary collaboration among radiation oncologists, spine surgeons, and medical oncologists.
AB - This narrative review provides a comprehensive overview of the current status, recent advancements, and future directions in the management of metastatic spine disease using both radiotherapy and surgery. Emphasis has been put on the integrated use of radiotherapy and surgery, incorporating recent developments such as separation surgery, active dose sparing of the surgical field, and the implementation of carbon fiber-reinforced polymer implants. Future studies should explore the effects of minimizing the time between radiotherapy and surgery and investigate the potential of vertebral re-ossification after radiotherapy to obviate the need for stabilization surgery. Concerted efforts should be directed toward fostering multidisciplinary collaboration among radiation oncologists, spine surgeons, and medical oncologists.
KW - radiotherapy
KW - interdisciplinary therapeutic approaches
KW - SBRT
KW - spinal metastases
KW - surgery
KW - systemic disease
UR - http://www.scopus.com/inward/record.url?scp=85215865123&partnerID=8YFLogxK
U2 - 10.1093/oncolo/oyae359
DO - 10.1093/oncolo/oyae359
M3 - Review article
AN - SCOPUS:85215865123
SN - 1083-7159
VL - 30
JO - Oncologist
JF - Oncologist
IS - 1
M1 - oyae359
ER -