Open versus minimally invasive surgery for patients with spinal metastases—which one should I choose for my patients?

Recent new treatment modalities, such as immunotherapy, radiosurgery, early diagnosis, improvement in systemic therapies, among others, are improving life expectancy and quality of life of oncological patients (1,2). Most of the patients with cancer will develop metastases; especially when considering a prolonged survives when compared with some decades ago (1-3).