Clinical considerations for non-operative treatment of spinal metastases with intermediate instability
Patients with pre-treatment paralysis and SINS ≥ 11 can progress to paralysis early; therefore, careful observation and imaging examinations are recommended early after treatment. If spinal alignment worsens, the treatment plan should be reconsidered, including restrictions of activity and surgical treatment.
Authors
- Yasunari Fujinaga (ORCID: https://orcid.org/0000-0002-3752-257X)
- Masanori Okamoto (ORCID: https://orcid.org/0000-0003-0351-865X)
- Akira Takazawa (ORCID: https://orcid.org/0000-0002-4755-8007)
- Yoshinori Tsukahara
- Keiji Matsumori
- Hirokazu Ideta (ORCID: https://orcid.org/0000-0002-6877-1835)
- Munehisa Kito (ORCID: https://orcid.org/0000-0003-4256-670X)
- Keiichiro Koiwai (ORCID: https://orcid.org/0000-0002-3582-7572)
- Atsushi Tanaka (ORCID: https://orcid.org/0000-0002-2394-5758)
- Hiroki Oba (ORCID: https://orcid.org/0000-0002-8064-6607)
- Hiroshi Horiuchi (ORCID: https://orcid.org/0000-0003-1587-8089)
- Kaoru Aoki (ORCID: https://orcid.org/0000-0002-7050-1455)
- Jun Takahashi (ORCID: https://orcid.org/0009-0000-4955-7414)
Institutions
- Shinshu University (JP)
Publication Details
- Journal
- European Spine Journal
- Published
- 2025-04-08
- DOI
- https://doi.org/10.1007/s00586-025-08817-w
- Primary Topic
- Management of metastatic bone disease
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Shinshu University