AUTHOR=Tan Jiong Hao Jonathan , Hallinan James Thomas Patrick Decourcy , Lee Renick , Chan Yiong Huak , Tan Tuan Hao , Ang Shi Wei , Tan Le Tian Isaac , Tan Joelle Hwee Inn , Sin Qinxiang Shant , Hey Dennis Hwee Weng , Lau Leok Lim , Thambiah Joseph , Wong Hee Kit , Liu Gabriel , Kumar Naresh TITLE=Trends in surgical management of spinal metastases in a Singaporean tertiary referral center: a 17-year retrospective review JOURNAL=Frontiers in Oncology VOLUME=Volume 13 - 2023 YEAR=2023 URL=https://www.frontiersin.org/journals/oncology/articles/10.3389/fonc.2023.1297553 DOI=10.3389/fonc.2023.1297553 ISSN=2234-943X ABSTRACT=Introduction: Surgical treatment is increasingly the treatment of choice in cancer patients with epidural spinal cord compression and spinal instability. There has also been an evolution in surgical treatment with the advent of minimally invasive surgical (MIS) techniques and separation surgery. This paper aims to investigate the changes in epidemiology, surgical technique, outcomes and complications in the last 17 years in a tertiary referral center in Singapore.Methods: This is a retrospective study of 383 patients with surgically treated spinal metastases treated