K.K. Rascheskova2,3, R.Sh. Khasanov2, I.R. Safin1,2, R.N. Safin1

1Republican Clinical Oncology Dispensary of Ministry of Healthcare of Tatarstan Republic named after prof. M.Z. Sigal, Kazan

2Kazan State Medical Academy ― Branch Campus of the FSBEI FPE RMACPE MOH Russia, Kazan

3City Clinical Hospital №7 named after M.N. Sadykov, Kazan

Rascheskova Karina K. ― neurosurgeon of the Department of Neurosurgery of the City Clinical Hospital №7 named after M.N. Sadykov, postgraduate student of the Department of Oncology, Radiology and Palliative Medicine of the Kazan State Medical Academy ― Branch Campus of the FSBEI FPE RMACPE MOH Russia

54 Marshal Chuykov Str., Kazan, 420103, Russian Federation, e-mail:, ORCID ID: 0009-0001-1150-682X

Abstract. Treatment of spinal metastases is a topical issue at the interface of oncology, neurosurgery and orthopedics. Due to increased life expectancy of cancer patients the quality of life in patients is significantly reduced by metastatic bone damage, which is no longer considered a rare pathology. The rate of cancer spreading to the vertebral column is high enough to cause serious complications, including the risk of non-traumatic spinal fractures, which may lead to disability and reduced mobility. Even though vertebral surgery is controversial, in patients with metastatic spinal injury, the topical issue of optimal surgical treatment remains unresolved. Investigating the significance of surgical treatment in managing pain and improving the quality of life for patients with metastatic spinal injury despite their palliative nature, interventions have a significant indirect effect on increasing life expectancy. This literary review presents the main modern methods of treatment of metastatic lesions of the spine such as surgical methods, radiation therapy, combined methods of treatment.  The criteria for deciding who should undergo surgical treatment for metastasis in the vertebral column are carefully considered. And up-to-date data on the effectiveness of radiation therapy and surgical treatments in pain management, prevention of neurological deficiency.

Key words: lung cancer, spine metastases, vertebroplasty, radiation therapy, the quality of life, pain syndrome.