Abstract
Metastatic spine disease is becoming a more frequent problem in cancer patients as advancements in treatment for primary tumors prolong patient survival. Elderly patients over 60 years of age make up the majority of these cases, with the incidence of metastatic disease several folds higher in the elderly than in any other age group. These patients are also the most challenging group to treat, given higher rates of comorbidities and decreased tolerance to medical, surgical and radiation therapies. Advancements in therapeutic strategies, including minimally invasive surgeries and stereotactic radiosurgery, have provided increasingly attractive treatment options for elderly patients owing to their decreased procedure-associated morbidity. This article will discuss efficacy and limitations of conventional, as well as more recent, treatment modalities with an emphasis on their role in the management of elderly patients.
Original language | English (US) |
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Pages (from-to) | 607-617 |
Number of pages | 11 |
Journal | Aging Health |
Volume | 7 |
Issue number | 4 |
DOIs | |
State | Published - Aug 2011 |
Externally published | Yes |
Keywords
- geriatrics
- metastasis
- minimally invasive surgery
- radiosurgery
- spine
- stereotactic
- tumor
ASJC Scopus subject areas
- Geriatrics and Gerontology