Arkady Bilenkin

Keywords: spine metastasis; separation surgery; percutaneous fixation; open fixation Spinal metastases have been known to occur in up to 70% of primary malignancies, with up to 10% being symptomatic.1 As systemic therapies continue to improve for a variety of malignancies, the prevalence of spinal metastases has increased.2 The role of surgery in the treatment of spinal metastases has significantly evolved over the past several decades.