34) who reported a decreasing trend towards vertebrectomy and an increasing frequency of resection and instrumentation surgeries.
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Trends in Survival and Surgical Methods in Patients Surgically Treated for Metastatic Spinal Tumors: 25-Year Experience in a Single Institution.
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The sentences
It was also noted that there was an increasing trend towards palliative decompression with fixation and minimally invasive fixation as compared to gross total tumor removal and TES, thus favoring less radical and invasive surgeries in the management of metastatic spinal tumors.