Surgical management of metastatic bone disease
Bickels J et al. - In a review of the surgical management of metastatic bone disease, it was concluded that detailed preoperative evaluation is required to assess the local extent of bone destruction and soft-tissue involvement, involvement of other skeletal sites, and overall medical and oncological status. Methods- Metastatic bone disease is a major contributor to the deterioration of quality of life of pts with cancer.
- It causes pain, impending and actual pathological fractures, and loss of function and may be associated with considerable metabolic alterations.
Results- Operative treatment may be required for an impending or existing fracture and intractable pain.
- Goals of surgery are to provide local tumor control and allow immediate weight-bearing and function.
- Radiation therapy is often indicated postoperatively.
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