Current Management of Skeletal Metastasis


Skeletal metastasis is a frequent cause of significant pain and functional morbidity for cancer patients. Whether a lesion is the first sign of systemic disease or occurs in a patient with advanced disease, the orthopaedic surgeon may perform a critical role in providing diagnostic assistance, pain relief, skeletal stabilization, and preservation of functional capacity. Knowledge of the evaluation of metastasis of unknown origin, biopsy techniques, surgical and nonsurgical management of painful lesions, and stabilization of impending and actual pathologic fractures is essential to the orthopaedic surgeon. Principles of evaluation, diagnosis, and surgical and nonsurgical interventions are discussed, including key points regarding specific anatomic considerations.

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