Should patients with breast cancer spinal metastases be decompressed, stabilized, both — or neither? After all, not all breast cancers behave the same, and not all spines should be treated the same.
The St. Gallen classification, long a darling of medical oncologists, is now stepping confidently into the spine surgeon’s prognostic toolkit and this recently published, peer-reviewed study asks a deceptively simple question with real-world consequences: Do breast cancer subtypes predict survival after spinal metastases surgery?
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