Vertebral metastases. En bloc treatment

Rev Esp Cir Ortop Traumatol. 2023 Nov-Dec;67(6):560-575. doi: 10.1016/j.recot.2023.09.002. Epub 2023 Sep 7.
[Article in English, Spanish]

Abstract

En bloc resection of vertebral metastases has been the subject of study in medical literature due to its impact on patients' quality of life and effectiveness in local disease control. This bibliographic analysis examines the findings and perspectives of published studies concerning en bloc resection of oligometastases in the spine. The technique, which involves the complete removal of the tumour along with a portion of the surrounding bone, has been shown to improve local tumour control, reduce recurrence, and potentially prolong patient survival compared to conventional decompression and stabilization techniques. However, en bloc resection also presents risks and complications, such as surgical morbidity and extended recovery time. Appropriate patient selection, preoperative planning, and a multidisciplinary approach are essential to optimize outcomes. As new techniques and advances in adjuvant treatment develop, en bloc resection of oligometastases in the spine remains an area of interest in oncological research.

Keywords: En bloc resection; Metástasis columna vertebral; Oligometastases spine; Oligometástasis columna vertebral; Resección en bloque; Spine metastases.