General Editor: Luiz Vialle

Authors: Ilya Laufer, JJ Verlaan (on behalf of AOSpine Knowledge Forum Tumor)

Metastatic tumors Subaxial cervical, unstable, low ESCC

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Patients unfit for surgery due to medical comorbidities and/or patients refusing surgery may still benefit considerably by receiving local radiotherapy and/or systemic/medical therapy. For some of these patients the life expectancy is uncertain as tumors may respond to therapy and overall physical condition may improve to the point that indications for interventions need to be reconsidered. Therefore, it is of importance to ensure adequate clinical follow up of patients with symptomatic spinal metastases referred to non-spine specialists.

V1.0 2019.01.06