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Surgical intervention of nonvertebral osseous metastasis.
MedLine Citation:
PMID:  22487973     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: Nonvertebral osseous metastases can result in pain and disability. The goals of surgical intervention are to reduce pain and to improve function if nonsurgical treatment fails. The indications for proceeding with surgical intervention depend on anatomic location, amount of local destruction, extent of skeletal and visceral disease and, most important, the patient's performance status and life expectancy.
METHODS: This article reviews the evaluation and treatment of metastatic nonvertebral osseous lesions from the perspective of the orthopedic surgeon, based mainly on an assessment of the surgical literature.
RESULTS: This article summarizes the approaches to preoperative evaluation, patient selection, and medical optimization. Guidelines for estimating osseous stability and fracture risk are discussed, and surgical implants and their relation to postoperative outcomes are examined. This review also describes less invasive ablative procedures currently available.
CONCLUSIONS: The surgical management of nonvertebral osseous metastases involves multidisciplinary collaboration. The surgical construct must be a stable, reliable, and durable intervention that is individually tailored and matched to a patient's prognosis and performance status.
Authors:
S Attar; R J Steffner; R Avedian; W M Hussain
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cancer control : journal of the Moffitt Cancer Center     Volume:  19     ISSN:  1526-2359     ISO Abbreviation:  Cancer Control     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-04-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9438457     Medline TA:  Cancer Control     Country:  United States    
Other Details:
Languages:  eng     Pagination:  113-21     Citation Subset:  IM    
Affiliation:
Department of Orthopedic Surgery, Johns Hopkins Hospital, Baltimore, MD 21287, USA. sattar@nmff.org.
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