{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T03:08:13Z","timestamp":1792465693412,"version":"4.5.0"},"reference-count":48,"publisher":"Elsevier BV","issue":"7","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","thespinejournalonline.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Spine Journal"],"published-print":{"date-parts":[[2025,7]]},"DOI":"10.1016\/j.spinee.2024.12.032","type":"journal-article","created":{"date-parts":[[2025,1,14]],"date-time":"2025-01-14T00:24:24Z","timestamp":1736814264000},"page":"1400-1417","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":11,"title":["Optimizing surgical strategies: a systematic review of the effectiveness of preoperative arterial embolization for hyper vascular metastatic spinal tumors"],"prefix":"10.1016","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4713-8536","authenticated-orcid":false,"given":"Abdel-Hameed","family":"Al-Mistarehi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4597-3642","authenticated-orcid":false,"given":"Hasan","family":"Slika","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-9761-7362","authenticated-orcid":false,"given":"Bachar","family":"El Baba","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4021-3153","authenticated-orcid":false,"given":"Shahab Aldin","family":"Sattari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2057-8419","authenticated-orcid":false,"given":"Carly","family":"Weber-Levine","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"Jiang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5942-8309","authenticated-orcid":false,"given":"Sang H.","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin J.","family":"Redmond","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5355-2683","authenticated-orcid":false,"given":"Nicholas","family":"Theodore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9403-9509","authenticated-orcid":false,"given":"Daniel","family":"Lubelski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"1","key":"10.1016\/j.spinee.2024.12.032_bib0001","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1002\/1097-0142(1950)3:1<74::AID-CNCR2820030111>3.0.CO;2-7","article-title":"Metastases in carcinoma; analysis of 1000 autopsied cases","volume":"3","author":"Abrams","year":"1950","journal-title":"Cancer"},{"issue":"6","key":"10.1016\/j.spinee.2024.12.032_bib0002","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1634\/theoncologist.4-6-459","article-title":"The diagnosis and treatment of metastatic spinal tumor","volume":"4","author":"Bilsky","year":"1999","journal-title":"Oncologist"},{"issue":"6","key":"10.1016\/j.spinee.2024.12.032_bib0003","doi-asserted-by":"crossref","first-page":"e10","DOI":"10.3171\/foc.2001.11.6.11","article-title":"Evaluation and treatment of spinal metastases: an overview","volume":"11","author":"Jacobs","year":"2001","journal-title":"Neurosurg Focus"},{"key":"10.1016\/j.spinee.2024.12.032_bib0004","doi-asserted-by":"crossref","first-page":"1","DOI":"10.5402\/2012\/918938","article-title":"Blood loss and massive transfusion in patients undergoing major oncological surgery: what do we know?","volume":"2012","author":"Cata","year":"2012","journal-title":"ISRN Anesthesiol"},{"issue":"3","key":"10.1016\/j.spinee.2024.12.032_bib0005","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1148\/radiology.145.3.6183709","article-title":"Lumbar artery embolization in cancer patients","volume":"145","author":"Soo","year":"1982","journal-title":"Radiology"},{"issue":"3","key":"10.1016\/j.spinee.2024.12.032_bib0006","first-page":"182","article-title":"Prevention of contrast-induced nephropathy in patients with chronic kidney disease undergoing elective coronary angioplasty or angiography with sodium potassium citrate solution, a double blind randomized clinical trial","volume":"13","author":"Ghorbani","year":"2019","journal-title":"Iran J Kidney Dis"},{"key":"10.1016\/j.spinee.2024.12.032_bib0007","doi-asserted-by":"crossref","first-page":"n71","DOI":"10.1136\/bmj.n71","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","author":"Page","year":"2021","journal-title":"BMJ"},{"key":"10.1016\/j.spinee.2024.12.032_bib0008","first-page":"2023","volume":"Version 6.4","author":"Higgins","year":"2019"},{"key":"10.1016\/j.spinee.2024.12.032_bib0009","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1186\/1471-2288-14-135","article-title":"Estimating the sample mean and standard deviation from the sample size, median, range and\/or interquartile range","volume":"14","author":"Wan","year":"2014","journal-title":"BMC Med Res Methodol"},{"key":"10.1016\/j.spinee.2024.12.032_bib0036","doi-asserted-by":"crossref","first-page":"288","DOI":"10.22603\/ssrr.2021-0171","article-title":"The efficacy and complications of preoperative embolization of metastatic spinal tumors: risk of paralysis after embolization","volume":"6","author":"Onishi","year":"2022","journal-title":"Spine Surg Relat Res"},{"issue":"3","key":"10.1016\/j.spinee.2024.12.032_bib0023","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1016\/j.jvir.2014.11.014","article-title":"Preoperative embolization in surgical treatment of spinal metastases: single-blind, randomized controlled clinical trial of efficacy in decreasing intraoperative blood loss","volume":"26","author":"Clausen","year":"2015","journal-title":"J Vasc Interv Radiol"},{"issue":"3","key":"10.1016\/j.spinee.2024.12.032_bib0035","doi-asserted-by":"crossref","first-page":"683","DOI":"10.1148\/radiology.176.3.2389026","article-title":"Vascular metastatic lesions of the spine: preoperative embolization","volume":"176","author":"Gellad","year":"1990","journal-title":"Radiology"},{"issue":"4","key":"10.1016\/j.spinee.2024.12.032_bib0037","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1177\/1591019916637360","article-title":"Preoperative catheter spinal angiography and embolization of cervical spinal tumors: outcomes from a single center","volume":"22","author":"Patsalides","year":"2016","journal-title":"Interv Neuroradiol"},{"key":"10.1016\/j.spinee.2024.12.032_bib0038","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1016\/j.jocn.2017.05.021","article-title":"Preoperative embolization in spinal tumour surgery: enhancing its effectiveness","volume":"43","author":"Tan","year":"2017","journal-title":"J Clin Neurosci"},{"issue":"5","key":"10.1016\/j.spinee.2024.12.032_bib0039","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1007\/BF00390053","article-title":"Use of preoperative vascular embolisation in spinal metastasis resection","volume":"116","author":"Hess","year":"1997","journal-title":"Arch Orthop Trauma Surg"},{"key":"10.1016\/j.spinee.2024.12.032_bib0040","doi-asserted-by":"crossref","first-page":"106","DOI":"10.3340\/jkns.2018.0073","article-title":"Clinical significance of preoperative embolization for non-hypervascular metastatic spine tumors","volume":"62","author":"Yoo","year":"2019","journal-title":"J Korean Neurosurg Soc"},{"issue":"9","key":"10.1016\/j.spinee.2024.12.032_bib0041","doi-asserted-by":"crossref","first-page":"e1389","DOI":"10.3928\/01477447-20120822-27","article-title":"Preoperative embolization significantly decreases intraoperative blood loss during palliative surgery for spinal metastasis","volume":"35","author":"Kato","year":"2012","journal-title":"Orthopedics"},{"issue":"5","key":"10.1016\/j.spinee.2024.12.032_bib0042","first-page":"757","article-title":"Hypervascular spinal tumors: influence of the embolization technique on perioperative hemorrhage","volume":"20","author":"Berkefeld","year":"1999","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.1016\/j.spinee.2024.12.032_bib0011","doi-asserted-by":"crossref","first-page":"3962","DOI":"10.1007\/s00586-016-4494-4","article-title":"The role of preoperative vascular embolization in surgery for metastatic spinal tumours","volume":"25","author":"Kumar","year":"2016","journal-title":"Eur Spine J"},{"issue":"5","key":"10.1016\/j.spinee.2024.12.032_bib0043","first-page":"997","article-title":"Spinal metastases from renal cell carcinoma: effect of preoperative particle embolization on intraoperative blood loss","volume":"22","author":"Manke","year":"2001","journal-title":"AJNR Am J Neuroradiol"},{"issue":"4","key":"10.1016\/j.spinee.2024.12.032_bib0030","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1016\/j.jor.2015.12.002","article-title":"Is it necessary to embolise all spinal metastases from primary renal tumours?","volume":"13","author":"McDonald","year":"2016","journal-title":"J Orthop"},{"issue":"1","key":"10.1016\/j.spinee.2024.12.032_bib0026","doi-asserted-by":"crossref","first-page":"9","DOI":"10.3109\/17453679308994517","article-title":"Embolization of spinal metastases reduces peroperative blood loss. 21 patients operated on for renal cell carcinoma","volume":"64","author":"Olerud","year":"1993","journal-title":"Acta Orthop Scand"},{"issue":"2","key":"10.1016\/j.spinee.2024.12.032_bib0044","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1227\/neu.0000000000002411","article-title":"Neoadjuvant arterial embolization of spine metastases associated with improved local control in patients receiving surgical decompression and stereotactic body radiotherapy","volume":"93","author":"Damante","year":"2023","journal-title":"Neurosurgery"},{"issue":"15","key":"10.1016\/j.spinee.2024.12.032_bib0045","article-title":"Preoperative embolization in patients with metastatic spinal cord compression: mandatory or optional?","author":"Hong","year":"2017","journal-title":"World J Surg Oncol"},{"issue":"11","key":"10.1016\/j.spinee.2024.12.032_bib0028","doi-asserted-by":"crossref","first-page":"1177","DOI":"10.1007\/s00701-008-0031-5","article-title":"The role of embolization in radical surgery of renal cell carcinoma spinal metastases","volume":"150","author":"Reh\u00e1k","year":"2008","journal-title":"Acta Neurochir (Wien)"},{"issue":"5","key":"10.1016\/j.spinee.2024.12.032_bib0046","doi-asserted-by":"crossref","first-page":"536","DOI":"10.1016\/j.otsr.2012.03.008","article-title":"Is preoperative embolization a prerequisite for spinal metastases surgical management?","volume":"98","author":"Robial","year":"2012","journal-title":"Orthop Traumatol Surg Res"},{"issue":"8","key":"10.1016\/j.spinee.2024.12.032_bib0047","doi-asserted-by":"crossref","first-page":"1334","DOI":"10.1016\/j.spinee.2022.03.001","article-title":"Preoperative embolization in surgical treatment of spinal metastases originating from nonhypervascular primary tumors: a propensity score matched study using 495 patients","volume":"22","author":"Groot","year":"2022","journal-title":"Spine J"},{"key":"10.1016\/j.spinee.2024.12.032_bib0012","doi-asserted-by":"crossref","first-page":"e745","DOI":"10.1016\/j.wneu.2021.06.062","article-title":"Pang C gang, Xia Q. Effectiveness of preoperative embolization in patients with spinal metastases: a systematic review and meta-analysis","volume":"152","author":"yu","year":"2021","journal-title":"World Neurosurg"},{"issue":"3","key":"10.1016\/j.spinee.2024.12.032_bib0010","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1007\/s00776-005-0900-1","article-title":"Preoperative embolization in spinal and pelvic metastases","volume":"10","author":"Wirbel","year":"2005","journal-title":"J Orthop Sci"},{"key":"10.1016\/j.spinee.2024.12.032_bib0048","doi-asserted-by":"crossref","first-page":"107181","DOI":"10.1016\/j.clineuro.2022.107181","article-title":"The role of preoperative embolization in the treatment of spinal metastases from renal cell carcinoma","volume":"215","author":"Thirunavu","year":"2022","journal-title":"Clin Neurol Neurosurg"},{"issue":"1","key":"10.1016\/j.spinee.2024.12.032_bib0024","doi-asserted-by":"crossref","first-page":"52","DOI":"10.5469\/neuroint.2020.00381","article-title":"Trends in utilization of preoperative embolization for spinal metastases: a study of the national inpatient sample 2005-2017","volume":"16","author":"Wahood","year":"2021","journal-title":"Neurointervention"},{"key":"10.1016\/j.spinee.2024.12.032_bib0049","unstructured":"Preoperative embolization in the treatment of osseous metastases from renal cell carcinoma - PubMed. Accessed May 28, 2024. https:\/\/pubmed.ncbi.nlm.nih.gov\/2910614\/"},{"key":"10.1016\/j.spinee.2024.12.032_bib0050","doi-asserted-by":"crossref","first-page":"33","DOI":"10.14444\/1033","article-title":"Preoperative embolization versus local hemostatic agents in surgery of hypervascular spinal tumors","volume":"8","author":"Ptashnikov","year":"2014","journal-title":"Int J Spine Surg"},{"issue":"1","key":"10.1016\/j.spinee.2024.12.032_bib0051","doi-asserted-by":"crossref","first-page":"129","DOI":"10.15274\/INR-2014-10091","article-title":"Does preoperative transarterial embolization decrease blood loss during spine tumor surgery?","volume":"21","author":"Qiao","year":"2015","journal-title":"Interv Neuroradiol"},{"issue":"1 Suppl","key":"10.1016\/j.spinee.2024.12.032_bib0052","first-page":"18","article-title":"Metastatic renal cell carcinoma of the spine: surgical treatment and results","volume":"94","author":"Jackson","year":"2001","journal-title":"J Neurosurg"},{"issue":"3","key":"10.1016\/j.spinee.2024.12.032_bib0053","doi-asserted-by":"crossref","first-page":"287","DOI":"10.3171\/spi.2004.1.3.0287","volume":"1","author":"Wang","year":"2004","journal-title":"J Neurosurg Spine"},{"issue":"4","key":"10.1016\/j.spinee.2024.12.032_bib0025","doi-asserted-by":"crossref","first-page":"548","DOI":"10.3171\/jns.1990.73.4.0548","article-title":"Treatment of spinal metastases from kidney cancer by presurgical embolization and resection","volume":"73","author":"Sundaresan","year":"1990","journal-title":"J Neurosurg"},{"issue":"5","key":"10.1016\/j.spinee.2024.12.032_bib0013","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1016\/j.surge.2021.08.007","article-title":"Spinal metastasis: the rise of minimally invasive surgery","volume":"20","author":"McCabe","year":"2022","journal-title":"Surgeon"},{"key":"10.1016\/j.spinee.2024.12.032_bib0014","doi-asserted-by":"crossref","first-page":"e859","DOI":"10.1016\/j.wneu.2018.01.176","article-title":"The potential of minimally invasive surgery to treat metastatic spinal disease versus open surgery: A systematic review and meta-analysis","volume":"112","author":"Lu","year":"2018","journal-title":"World Neurosurg"},{"key":"10.1016\/j.spinee.2024.12.032_bib0015","doi-asserted-by":"crossref","first-page":"e264","DOI":"10.1016\/j.wneu.2020.12.130","article-title":"Minimal invasive surgery instrumented fusion versus conventional open surgical instrumented fusion for the treatment of spinal metastases: a systematic review and meta-analysis","volume":"148","author":"Pranata","year":"2021","journal-title":"World Neurosurg"},{"key":"10.1016\/j.spinee.2024.12.032_bib0016","doi-asserted-by":"crossref","first-page":"e467","DOI":"10.1016\/j.wneu.2019.06.121","article-title":"Analysis of outcomes between traditional open versus mini-open approach in surgical treatment of spinal metastasis","volume":"130","author":"Saadeh","year":"2019","journal-title":"World Neurosurg"},{"key":"10.1016\/j.spinee.2024.12.032_bib0017","doi-asserted-by":"crossref","first-page":"e32","DOI":"10.1016\/j.wneu.2021.11.097","article-title":"Minimally invasive surgery for spinal metastasis: a review","volume":"159","author":"Flynn","year":"2022","journal-title":"World Neurosurg"},{"issue":"5","key":"10.1016\/j.spinee.2024.12.032_bib0027","first-page":"997","article-title":"Spinal metastases from renal cell carcinoma: effect of preoperative particle embolization on intraoperative blood loss","volume":"22","author":"Manke","year":"2001","journal-title":"AJNR Am J Neuroradiol"},{"issue":"Suppl 1","key":"10.1016\/j.spinee.2024.12.032_bib0029","doi-asserted-by":"crossref","first-page":"S27","DOI":"10.1007\/s00586-012-2648-6","article-title":"Outcome of embolised vascular metastatic renal cell tumours causing spinal cord compression","volume":"22","author":"Quraishi","year":"2013","journal-title":"Eur Spine J"},{"key":"10.1016\/j.spinee.2024.12.032_bib0031","doi-asserted-by":"crossref","first-page":"1399","DOI":"10.1007\/s00264-015-2769-8","article-title":"Pre-operative embolisation of spinal metastasis: technique, complication rate and outcome\u2014clinical experience","volume":"39","author":"Cernoch","year":"2015","journal-title":"Int Orthop"},{"issue":"12","key":"10.1016\/j.spinee.2024.12.032_bib0032","doi-asserted-by":"crossref","first-page":"2457","DOI":"10.1016\/j.clineuro.2013.09.033","article-title":"Preoperative spinal tumor embolization: an institutional experience with Onyx","volume":"115","author":"Ghobrial","year":"2013","journal-title":"Clin Neurol Neurosurg"},{"issue":"4","key":"10.1016\/j.spinee.2024.12.032_bib0033","doi-asserted-by":"crossref","first-page":"656","DOI":"10.3174\/ajnr.A1899","article-title":"Retrospective analysis of preoperative embolization of spinal tumors","volume":"31","author":"Wilson","year":"2010","journal-title":"AJNR Am J Neuroradiol"},{"issue":"1","key":"10.1016\/j.spinee.2024.12.032_bib0034","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1177\/030089161109700113","article-title":"Surgical therapy of vertebral metastases. Are there predictive parameters for intraoperative excessive blood loss despite preoperative embolization?","volume":"97","author":"Schmidt","year":"2011","journal-title":"Tumori"}],"container-title":["The Spine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1529943025000178?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1529943025000178?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,6,18]],"date-time":"2025-06-18T23:40:01Z","timestamp":1750290001000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1529943025000178"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":48,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["S1529943025000178"],"URL":"https:\/\/doi.org\/10.1016\/j.spinee.2024.12.032","relation":{},"ISSN":["1529-9430"],"issn-type":[{"value":"1529-9430","type":"print"}],"subject":[],"published":{"date-parts":[[2025,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Optimizing surgical strategies: a systematic review of the effectiveness of preoperative arterial embolization for hyper vascular metastatic spinal tumors","name":"articletitle","label":"Article Title"},{"value":"The Spine Journal","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.spinee.2024.12.032","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}