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of metastases in spinal surgery struggles with the same issue. 41 Although the meta-analysis concludes that it is effective to embolize spinal metastases, no specified recommendation can be made per surgical technique, because the included
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large cohort (n = 1266). They found that increased age and Karnofsky score were associated with short survival, while lower number of levels included in the spinal surgery and primary tumour type were related to long survival. Surgical treatment