{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T16:08:05Z","timestamp":1790352485542,"version":"4.1.0"},"reference-count":48,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2023,5,21]],"date-time":"2023-05-21T00:00:00Z","timestamp":1684627200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Objective: This report aims to describe the surgical methodology and potential effectiveness of endoscopic separation surgery (ESS) in patients with metastatic spine disease. This concept may reduce the invasiveness of the procedure, which can potentially speed up the wound healing process and, thus, the possibility of faster application of radiotherapy. Materials and Methods: In this study, separation surgery for preparing patients for stereotactic body radiotherapy (SBRT) was performed with fully endoscopic spine surgery (FESS) followed by percutaneous screw fixation (PSF). Results: Three patients with metastatic spine disease in the thoracic spine were treated with fully endoscopic spine separation surgery. The first case resulted in the progression of paresis symptoms that resulted in disqualification from further oncological treatment. The remaining two patients achieved satisfactory clinical and radiological effects and were referred for additional radiotherapy. Conclusions: With advancements in medical technology, such as endoscopic visualization, and new tools for coagulation, we can treat more and more spine diseases. Until now, spine metastasis was not an indication for the use of endoscopy. This method is very technically challenging and risky, especially at such an early stage of application, due to variations in the patient\u2019s condition, morphological diversity, and the nature of metastatic lesions in the spine. Further trials are needed to determine whether this new approach to treating patients with spine metastases is a promising breakthrough or a dead end.<\/jats:p>","DOI":"10.3390\/medicina59050993","type":"journal-article","created":{"date-parts":[[2023,5,22]],"date-time":"2023-05-22T03:57:32Z","timestamp":1684727852000},"page":"993","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Fully Endoscopic Spine Separation Surgery in Metastatic Disease\u2014Case Series, Technical Notes, and Preliminary Findings"],"prefix":"10.3390","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4230-4489","authenticated-orcid":false,"given":"Kajetan","family":"Latka","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, St. Hedwig\u2019s Regional Specialist Hospital, ul.Wodociagowa 4, 45-221 Opole, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Waldemar","family":"Kolodziej","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Institute of Medical Sciences, University of Opole, Al.Witosa 26, 45-401 Opole, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kornel","family":"Pawlak","sequence":"additional","affiliation":[{"name":"Department of Radiotherapy, Opole Center of Oncology, ul.Katowicka 66a, 45-061 Opole, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomasz","family":"Sobolewski","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Institute of Medical Sciences, University of Opole, Al.Witosa 26, 45-401 Opole, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafal","family":"Rajski","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Institute of Medical Sciences, University of Opole, Al.Witosa 26, 45-401 Opole, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacek","family":"Chowaniec","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Institute of Medical Sciences, University of Opole, Al.Witosa 26, 45-401 Opole, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomasz","family":"Olbrycht","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Institute of Medical Sciences, University of Opole, Al.Witosa 26, 45-401 Opole, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6685-7451","authenticated-orcid":false,"given":"Masato","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Okayama Rosai Hospital, Okayama 702-8055, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3958-2477","authenticated-orcid":false,"given":"Dariusz","family":"Latka","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Institute of Medical Sciences, University of Opole, Al.Witosa 26, 45-401 Opole, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,5,21]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"20190211","DOI":"10.1259\/bjr.20190211","article-title":"Spinal metastasis: Diagnosis, management and follow-up","volume":"92","author":"Gerszten","year":"2019","journal-title":"Br. 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