The next generation in surgical research for patients with spinal metastases

Since the landmark randomized trial of Patchell and colleagues was published in 2005 [1], enthusiasm for surgical intervention as a treatment for patients with spinal metastases has increased substantially [2–5]. This, combined with parallel improvements in adjuvant therapies, enhanced perioperative safety, efficiency and surgical techniques have culminated in the fact that spine surgical procedures are now considered viable treatment options for individuals who little more than a decade ago would not have been deemed candidates for anything beyond palliative care, let alone a major operative event [4,5].

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