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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.

Clin Orthop Surg · 2023 · PMC9880505 · PMID 36778984

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a decreasing trendno p-value reported
34) who reported a decreasing trend towards vertebrectomy and an increasing frequency of resection and instrumentation surgeries.

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an increasing trendno p-value reported
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.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.