Highlights • Separation surgery is a new concept for metastatic spinal cord compression treatment.• Stereotactic radiosurgery increased local control, overcoming radio-resistance’s idea.• The surgery goal shifted towards creating targets for… Click to show full abstract
Highlights • Separation surgery is a new concept for metastatic spinal cord compression treatment.• Stereotactic radiosurgery increased local control, overcoming radio-resistance’s idea.• The surgery goal shifted towards creating targets for radiations avoiding cord damages.• Minimal invasive strategies could allow quick return to systemic therapies.
               
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