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Figure 1. 73-year-old female patient with multiple metastatic breast cancer ER: 95%; PgR: 0%; HER2-Score 1+; Ki-67: 20%. Sagittal and
axial section of a total spine CT scan: unstable metastatic destruction of L3
The various techniques mentioned above can be combined as required. Additional measures like (partial-)
resection of soft tissue, thoracic wall or pelvis with potential correction or reconstruction of deformity
[47]
complete the port folio . Modern adjuvant oncologic concepts comprise radio-, chemo- or hormone
therapy [8,47,50] .
Due to the wide range of therapy options mentioned above it is impossible for a sole attending physician to
determine the individual therapeutical regimes. Such complex decision making demands an interdisciplinary
[4]
setting like a tumor conference or board . The spine surgeon determines the individual therapy of
