{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T23:02:45Z","timestamp":1780959765780,"version":"3.54.1"},"reference-count":64,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zentralbl Chir"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Metastasen der Brustwirbels\u00e4ule sind eine h\u00e4ufige Manifestation fortgeschrittener maligner Erkrankungen und erfordern teilweise ein interdisziplin\u00e4res Management. Aufgrund der komplexen anatomischen Verh\u00e4ltnisse im thorakalen Bereich, insbesondere der N\u00e4he zu Mediastinalorganen, Gef\u00e4\u00dfen und dem R\u00fcckenmark, ist eine pr\u00e4zise Planung der operativen Durchf\u00fchrung essenziell. Die thoraxchirurgische Expertise ist vor allem bei der Mobilisierung mediastinaler Strukturen, der Kontrolle gro\u00dfer Gef\u00e4\u00dfe und der Herstellung eines sicheren vorderen Zugangs von zentraler Bedeutung. Insbesondere bei gleichzeitiger Beteiligung der Thoraxorgane und der spinalen Achse. Die neurochirurgische Rolle konzentriert sich auf die Dekompression neuraler Strukturen, die Entfernung tumor\u00f6ser Gewebe und die biomechanische Stabilisierung der Wirbels\u00e4ule. Beide Fachdisziplinen kooperieren eng, zeitweise auch simultan im Operationssaal, um die chirurgischen, funktionellen und onkologischen Ziele zu erreichen.\n      Fortschritte in der intraoperativen Bildgebung, der Navigation, Robotik sowie der minimalinvasiven Techniken erm\u00f6glichen heute eine individualisierte, schonendere und effektivere Behandlung als noch vor wenigen Jahren. Dar\u00fcber hinaus erfordert die moderne Therapie spinaler Metastasen die Einbindung weiterer Fachrichtungen wie Onkologie, Strahlentherapie und Schmerztherapie. Studien zeigen, dass eine strukturierte interdisziplin\u00e4re Versorgung zu besseren neurologischen Outcomes, einer h\u00f6heren Lebensqualit\u00e4t und optimierten Anschlussbehandlungen f\u00fchrt. Der vorliegende Artikel beleuchtet die Schnittpunkte von Thorax- und Neurochirurgie bei der operativen Versorgung thorakaler Wirbels\u00e4ulenmetastasen, analysiert etablierte Verfahren und aktuelle Entwicklungen und zeigt auf, wie durch technologische und strukturelle Innovationen eine hochwertige, patientenzentrierte Versorgung realisiert werden kann.<\/jats:p>","DOI":"10.1055\/a-2715-5182","type":"journal-article","created":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T22:45:56Z","timestamp":1761086756000},"page":"282-293","source":"Crossref","is-referenced-by-count":0,"title":["Metastasen der Brustwirbels\u00e4ule: interdisziplin\u00e4re chirurgische Strategien zwischen Thoraxchirurgie und Neurochirurgie"],"prefix":"10.1055","volume":"151","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5103-9560","authenticated-orcid":false,"given":"Sami","family":"Ridwan","sequence":"additional","affiliation":[{"name":"Klinikum Ibbenb\u00fcren, Deutschland","place":["Ibbenb\u00fcren"],"department":["Klinik f\u00fcr Neurochirurgie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mihail-Lucian","family":"Stefan","sequence":"additional","affiliation":[{"name":"Klinikum Ibbenb\u00fcren, Deutschland","place":["Ibbenb\u00fcren"],"department":["Klinik f\u00fcr Neurochirurgie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Schulte","sequence":"additional","affiliation":[{"name":"Klinikum Ibbenb\u00fcren, NRW, Deutschland","place":["Ibbenb\u00fcren"],"department":["Klinik f\u00fcr Thoraxchirurgie und Lungenunterst\u00fctzung"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Reichelt","sequence":"additional","affiliation":[{"name":"Klinikum Ibbenb\u00fcren, NRW, Deutschland","place":["Ibbenb\u00fcren"],"department":["Klinik f\u00fcr Thoraxchirurgie und Lungenunterst\u00fctzung"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Fischer","sequence":"additional","affiliation":[{"name":"Klinikum Ibbenb\u00fcren, NRW, Deutschland","place":["Ibbenb\u00fcren"],"department":["Klinik f\u00fcr Thoraxchirurgie und Lungenunterst\u00fctzung"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Franz-Josef","family":"Hans","sequence":"additional","affiliation":[{"name":"Klinikum Ibbenb\u00fcren, Deutschland","place":["Ibbenb\u00fcren"],"department":["Klinik f\u00fcr Neurochirurgie"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,10,21]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"744","DOI":"10.1634\/theoncologist.2012-0293","article-title":"The NOMS Framework: Approach to the Treatment of Spinal Metastatic Tumors","volume":"18","author":"I 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