{"id":4540,"date":"2024-04-23T10:17:26","date_gmt":"2024-04-23T07:17:26","guid":{"rendered":"https:\/\/spine-scoliosis.gr\/?page_id=4540"},"modified":"2025-11-07T14:20:18","modified_gmt":"2025-11-07T11:20:18","slug":"spinal-tumors","status":"publish","type":"page","link":"https:\/\/spine-scoliosis.gr\/en\/spinal-tumors\/","title":{"rendered":"Spinal Tumors"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"4540\" class=\"elementor elementor-4540 elementor-1052\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4b1aabc e-con-full e-flex e-con e-parent\" data-id=\"4b1aabc\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e680918 elementor-widget elementor-widget-heading\" data-id=\"e680918\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Spinal Tumors<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-63abdbc e-flex e-con-boxed e-con e-parent\" data-id=\"63abdbc\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-df90aa5 e-con-full eswteriko-menu e-flex e-con e-child\" data-id=\"df90aa5\" data-element_type=\"container\" data-settings=\"{&quot;sticky&quot;:&quot;top&quot;,&quot;sticky_offset&quot;:90,&quot;sticky_parent&quot;:&quot;yes&quot;,&quot;sticky_on&quot;:[&quot;desktop&quot;,&quot;laptop&quot;,&quot;tablet&quot;],&quot;sticky_effects_offset&quot;:0,&quot;sticky_anchor_link_offset&quot;:0}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d7331a5 elementor-widget elementor-widget-heading\" data-id=\"d7331a5\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\"><a href=\"#ti-einai\">Tumors \u2013 Spinal Cancer<\/a><\/span>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-29f0697 elementor-widget elementor-widget-heading\" data-id=\"29f0697\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\"><a href=\"#taxinomisi\">Classification of Spinal Tumors<\/a><\/span>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-36cbffd elementor-widget elementor-widget-heading\" data-id=\"36cbffd\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\"><a href=\"#symptomata\">What are the symptoms?<\/a><\/span>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6e5c1b2 elementor-widget elementor-widget-heading\" data-id=\"6e5c1b2\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\"><a href=\"#diagnosi\">Spinal Cancer: How is it diagnosed?<\/a><\/span>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f1bc9b4 elementor-widget elementor-widget-heading\" data-id=\"f1bc9b4\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\"><a href=\"#therapeia\">Treatment \u2013 Management<\/a><\/span>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dd44aca elementor-widget elementor-widget-heading\" data-id=\"dd44aca\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\"><a href=\"#kaloitheis-ogkoi\">Benign Spinal Tumors<\/a><\/span>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6dc2248 elementor-widget elementor-widget-heading\" data-id=\"6dc2248\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\"><a href=\"#kakoitheis-ogkoi\">Malignant Spinal Tumors<\/a><\/span>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9638a6a elementor-widget elementor-widget-heading\" data-id=\"9638a6a\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\"><a href=\"#summary\">Summary<\/a><\/span>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-bdc4ae6 e-con-full e-flex e-con e-child\" data-id=\"bdc4ae6\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-1ab1211 e-con-full section e-flex e-con e-child\" data-id=\"1ab1211\" data-element_type=\"container\" id=\"ti-einai\">\n\t\t<div class=\"elementor-element elementor-element-da87b0b e-con-full e-flex e-con e-child\" data-id=\"da87b0b\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6f423b4 elementor-widget-tablet__width-initial elementor-widget elementor-widget-image\" data-id=\"6f423b4\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"51\" height=\"51\" src=\"https:\/\/spine-scoliosis.gr\/wp-content\/uploads\/2024\/04\/Ellipse-5.svg\" class=\"attachment-full size-full wp-image-70\" alt=\"Bullet Elipse\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e30f59a elementor-widget elementor-widget-heading\" data-id=\"e30f59a\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Tumors \u2013 Spinal Cancer<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d8362c7 elementor-widget elementor-widget-text-editor\" data-id=\"d8362c7\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Metastasis of cancer to the spine is a common progression in advanced cancer, given that almost all cancers metastasize to bones, mainly the spine. At the same time, there are several primary spinal tumors, which can be benign or malignant.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-17c316b e-con-full section e-flex e-con e-child\" data-id=\"17c316b\" data-element_type=\"container\" id=\"taxinomisi\">\n\t\t<div class=\"elementor-element elementor-element-10f4b33 e-con-full e-flex e-con e-child\" data-id=\"10f4b33\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-36109a6 elementor-widget-tablet__width-initial elementor-widget elementor-widget-image\" data-id=\"36109a6\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"51\" height=\"51\" src=\"https:\/\/spine-scoliosis.gr\/wp-content\/uploads\/2024\/04\/Ellipse-5.svg\" class=\"attachment-full size-full wp-image-70\" alt=\"Bullet Elipse\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ffe875b elementor-widget elementor-widget-heading\" data-id=\"ffe875b\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Classification of Spinal Tumors<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-92adf2b bullet-list elementor-widget elementor-widget-text-editor\" data-id=\"92adf2b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Neoplasms are divided into benign and malignant. Benign neoplasms do not destroy surrounding tissues but only the bone, and their most common aggressiveness is difficulty in complete removal. Malignant neoplasms have the ability to spread to other organs, i.e., metastasize.<\/p><p>Another way to classify spinal tumors is as primary or secondary. Primary tumors originate from the spine itself; they are very rare and can be benign or malignant. Secondary tumors originate elsewhere and metastasize to the <a href=\"\/en\/general-anatomy-of-the-spine\/\">spine<\/a>; they are by definition malignant. The most common secondary tumors are lung cancer, breast cancer, prostate cancer, and kidney cancer.<\/p><p>\u00a0<\/p><p><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter wp-image-1757 size-full\" src=\"https:\/\/spine-scoliosis.gr\/wp-content\/uploads\/2024\/04\/\u039a\u03b1\u03c1\u03ba\u03af\u03bd\u03bf\u03c2-\u03c3\u03c0\u03bf\u03bd\u03b4\u03c5\u03bb\u03b9\u03ba\u03ae\u03c2-\u03c3\u03c4\u03ae\u03bb\u03b7\u03c2.webp\" alt=\"\" width=\"640\" height=\"640\" srcset=\"https:\/\/spine-scoliosis.gr\/wp-content\/uploads\/2024\/04\/\u039a\u03b1\u03c1\u03ba\u03af\u03bd\u03bf\u03c2-\u03c3\u03c0\u03bf\u03bd\u03b4\u03c5\u03bb\u03b9\u03ba\u03ae\u03c2-\u03c3\u03c4\u03ae\u03bb\u03b7\u03c2.webp 640w, https:\/\/spine-scoliosis.gr\/wp-content\/uploads\/2024\/04\/\u039a\u03b1\u03c1\u03ba\u03af\u03bd\u03bf\u03c2-\u03c3\u03c0\u03bf\u03bd\u03b4\u03c5\u03bb\u03b9\u03ba\u03ae\u03c2-\u03c3\u03c4\u03ae\u03bb\u03b7\u03c2-300x300.webp 300w, https:\/\/spine-scoliosis.gr\/wp-content\/uploads\/2024\/04\/\u039a\u03b1\u03c1\u03ba\u03af\u03bd\u03bf\u03c2-\u03c3\u03c0\u03bf\u03bd\u03b4\u03c5\u03bb\u03b9\u03ba\u03ae\u03c2-\u03c3\u03c4\u03ae\u03bb\u03b7\u03c2-150x150.webp 150w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-d8f87c9 e-con-full section e-flex e-con e-child\" data-id=\"d8f87c9\" data-element_type=\"container\" id=\"symptomata\">\n\t\t<div class=\"elementor-element elementor-element-c23d2d0 e-con-full e-flex e-con e-child\" data-id=\"c23d2d0\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-98a1590 elementor-widget-tablet__width-initial elementor-widget elementor-widget-image\" data-id=\"98a1590\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"51\" height=\"51\" src=\"https:\/\/spine-scoliosis.gr\/wp-content\/uploads\/2024\/04\/Ellipse-5.svg\" class=\"attachment-full size-full wp-image-70\" alt=\"Bullet Elipse\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f835614 elementor-widget elementor-widget-heading\" data-id=\"f835614\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What are the symptoms?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-29a5949 number-list elementor-widget elementor-widget-text-editor\" data-id=\"29a5949\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Almost all patients with advanced cancer will develop spinal metastases, but only half of them will have symptoms. Symptoms caused by spinal tumors depend on many factors, such as the location, growth rate, pressure on the spinal cord or nerves, and disruption of spinal stability.<\/p><p>\u00a0<\/p><p>The most common symptoms are:<\/p><p>\u00a0<\/p><ul><li>Back pain \u2013 spinal pain that does not improve with lying down or even worsens at night<\/li><li>Radiating pain to the legs or arms<\/li><li>Weakness, numbness, clumsiness, or difficulty walking<\/li><li><b><\/b><strong><b>Bladder or Bowel Dysfunction: <\/b><\/strong>In cases of severe spinal cord compression.<\/li><\/ul><p>\u00a0<\/p><p>Symptoms may appear gradually or suddenly.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8af042b e-con-full elementor-hidden-desktop elementor-hidden-laptop elementor-hidden-tablet elementor-hidden-mobile e-flex e-con e-child\" data-id=\"8af042b\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-dab7946 e-con-full e-transform e-flex e-con e-child\" data-id=\"dab7946\" data-element_type=\"container\" data-settings=\"{&quot;_transform_rotateZ_effect&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:-90,&quot;sizes&quot;:[]},&quot;_transform_rotateZ_effect_mobile&quot;:{&quot;unit&quot;:&quot;deg&quot;,&quot;size&quot;:0,&quot;sizes&quot;:[]},&quot;_transform_rotateZ_effect_laptop&quot;:{&quot;unit&quot;:&quot;deg&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_rotateZ_effect_tablet&quot;:{&quot;unit&quot;:&quot;deg&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a2c471e elementor-hidden-desktop elementor-hidden-laptop elementor-hidden-tablet elementor-hidden-mobile elementor-widget elementor-widget-heading\" data-id=\"a2c471e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\">Download the pdf<\/span>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3821dc8 e-con-full e-flex e-con e-child\" data-id=\"3821dc8\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-243a07c elementor-align-left elementor-widget elementor-widget-button\" data-id=\"243a07c\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/spine-scoliosis.gr\/wp-content\/uploads\/2024\/04\/\u039f\u0393\u039a\u039f\u0399-\u03a3\u03a0\u039f\u039d\u0394\u03a5\u039b\u0399\u039a\u0397\u03a3-\u03a3\u03a4\u0397\u039b\u0397\u03a3.pdf\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Spinal Tumors<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-674cf8e e-con-full section e-flex e-con e-child\" data-id=\"674cf8e\" data-element_type=\"container\" id=\"diagnosi\">\n\t\t<div class=\"elementor-element elementor-element-a836090 e-con-full e-flex e-con e-child\" data-id=\"a836090\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-86d3549 elementor-widget-tablet__width-initial elementor-widget elementor-widget-image\" data-id=\"86d3549\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"51\" height=\"51\" src=\"https:\/\/spine-scoliosis.gr\/wp-content\/uploads\/2024\/04\/Ellipse-5.svg\" class=\"attachment-full size-full wp-image-70\" alt=\"Bullet Elipse\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e074099 elementor-widget elementor-widget-heading\" data-id=\"e074099\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Spinal Cancer: How is it diagnosed?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a8f8f79 bullet-list elementor-widget elementor-widget-text-editor\" data-id=\"a8f8f79\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Diagnosis is mostly based on patient history, physical and neurological examination, and primarily MRI.<\/p><p>Typically, lab tests (tumor markers) do not help much in diagnosis. Blood tests and kidney and liver function tests reflect the overall condition of the patient, usually in advanced disease stages. Protein electrophoresis and sedimentation rate can assist in diagnosing blood neoplasms such as multiple myeloma, and measuring certain enzymes, like PSA or acid phosphatase, helps in prostate cancer monitoring.<\/p><p>\u00a0<\/p><p><strong><b>Radiological Examination<\/b><\/strong><\/p><p><br \/><a href=\"\/en\/magnitiki-tomografia\/\">MRI<\/a> is the main imaging test for diagnosing spinal tumors. It is sensitive and specific and can differentiate fractures due to osteoporosis, metastasis, or spinal infection.<\/p><p>Other imaging studies:<\/p><ul><li>X-rays show the spine\u2019s architecture but need at least 50% bone loss to detect metastasis.<\/li><li>Bone scan (scintigraphy) can show spinal fractures related to metastasis and possibly other sites but is not very specific (cannot clearly differentiate fractures from arthritis).<\/li><li>CT scan shows bone details, and combined with myelography (contrast injected into the spinal canal), it can be very effective, otherwise of limited use.<\/li><\/ul><p>\u00a0<\/p><p><strong><b>Spinal Biopsy<\/b><\/strong><\/p><p><br \/>Biopsy is necessary for primary tumors, while for metastatic tumors, the origin is usually known. A small tumor tissue sample is taken and examined microscopically.<\/p><p>Biopsy can be done via fine needle or a thicker needle called a trocar. Fine needle biopsy is performed with high precision under CT guidance, while trocar biopsy is usually done in the operating room under general anesthesia.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-94d898a e-con-full section e-flex e-con e-child\" data-id=\"94d898a\" data-element_type=\"container\" id=\"therapeia\">\n\t\t<div class=\"elementor-element elementor-element-110dde5 e-con-full e-flex e-con e-child\" data-id=\"110dde5\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7e20c3f elementor-widget-tablet__width-initial elementor-widget elementor-widget-image\" data-id=\"7e20c3f\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"51\" height=\"51\" src=\"https:\/\/spine-scoliosis.gr\/wp-content\/uploads\/2024\/04\/Ellipse-5.svg\" class=\"attachment-full size-full wp-image-70\" alt=\"Bullet Elipse\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9018f9f elementor-widget elementor-widget-heading\" data-id=\"9018f9f\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Treatment \u2013 Management<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c7604a5 bullet-list elementor-widget elementor-widget-text-editor\" data-id=\"c7604a5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Treatment requires a multidisciplinary approach involving spine surgeons, neuro-radiologists, pathologists, oncologists, and pain specialists. The final treatment depends on symptoms, cancer type, aggressiveness, response to radiation, neurological status, and overall patient health.<\/p><p>Most patients need a combination of surgical and non-surgical treatments depending on tumor type (benign or malignant), stage, treatment goals (curative or palliative), life expectancy, and general health.<\/p><h3>\u00a0<\/h3><h3>Radiation Therapy<\/h3><p>Radiation is the primary treatment for metastatic spinal cancers. It damages the DNA of malignant cells, thereby inhibiting their ability to multiply and leading to their death. Radiation therapy is indicated for malignant and metastatic tumors, particularly when surgical removal would risk compromising the patient&#8217;s neurological integrity. In contrast, benign tumors are typically treated with surgical excision whenever feasible.<\/p><p>It is important to emphasize that not all tumors respond equally well to radiation. For instance, melanoma and colorectal cancer metastases are particularly resistant, while thyroid and kidney cancers show moderate sensitivity.<\/p><h3>\u00a0<\/h3><h3>Surgical Treatment<\/h3><p>The goals of surgery are to reduce pain, stabilize the spine, and protect neurological function, regardless of whether the tumor is benign or malignant. Even after surgical removal, some tumors may require additional radiation or chemotherapy.<\/p><p>The main surgical indications for spinal tumors are:<\/p><ul><li>The need for a direct biopsy<\/li><li>Imminent risk of neurological injury due to spinal cord or nerve compression<\/li><li>Spinal instability or persistent pain unresponsive to conservative treatment such as radiation<\/li><\/ul><p>During surgery, the tumor is removed and neural elements are decompressed. Often, spinal stabilization is necessary using instrumentation such as rods and screws (spinal fusion hardware), cages, or bone cement\u2014materials that function as structural support so the spine can bear the body\u2019s weight without causing pain.<\/p><p>Complete tumor resection is required in cases of primary tumors or solitary metastases. These surgeries are technically complex. In metastatic disease, complete removal with clear margins is rarely necessary, and residual tumor often remains.<\/p><h3>\u00a0<\/h3><h3>Bracing<\/h3><p>Bracing helps stabilize the spine and reduce pain. For the thoracolumbar spine, a thoracolumbosacral orthosis (TLSO) brace is used. For cervical spine involvement, a soft or rigid neck collar may be sufficient, while tumors in the upper cervical spine may require a Halo-vest for more rigid immobilization.<\/p><h3>\u00a0<\/h3><h3>Chemotherapy<\/h3><p>Chemotherapy treats and helps control cancer progression. In the case of metastatic spinal tumors, chemotherapy is usually <strong><b>adjuvant<\/b><\/strong>\u00a0(supportive), since the primary treatment is radiation or surgery.<\/p><h3>\u00a0<\/h3><h3>Pain Management<\/h3><p>Pain therapy alleviates symptoms and improves the patient&#8217;s quality of life. It may include anti-inflammatory drugs, analgesics, intravenous narcotics, and morphine.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ff8025f e-con-full section e-flex e-con e-child\" data-id=\"ff8025f\" data-element_type=\"container\" id=\"kaloitheis-ogkoi\">\n\t\t<div class=\"elementor-element elementor-element-3b41b83 e-con-full e-flex e-con e-child\" data-id=\"3b41b83\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-362c97e elementor-widget-tablet__width-initial elementor-widget elementor-widget-image\" data-id=\"362c97e\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"51\" height=\"51\" src=\"https:\/\/spine-scoliosis.gr\/wp-content\/uploads\/2024\/04\/Ellipse-5.svg\" class=\"attachment-full size-full wp-image-70\" alt=\"Bullet Elipse\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-92e6bf3 elementor-widget elementor-widget-heading\" data-id=\"92e6bf3\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Benign Spinal Tumors<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7c2ef5b bullet-list elementor-widget elementor-widget-text-editor\" data-id=\"7c2ef5b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3><strong><b>Osteoid Osteoma<\/b><\/strong><\/h3><p>This is a small tumor usually found in the vertebral arch. It can cause significant pain that worsens at night and typically responds well to nonsteroidal anti-inflammatory drugs (NSAIDs). Treatment usually involves surgical removal or radiofrequency ablation.<\/p><p>\u00a0<\/p><h3><strong><b>Osteoblastoma<\/b><\/strong><\/h3><p>This tumor can be larger than osteoid osteoma, sometimes behaving more aggressively and may invade adjacent structures. Surgery is often required, and the prognosis is generally good.<\/p><p>\u00a0<\/p><h3><strong><b>Giant Cell Tumor<\/b><\/strong><\/h3><p>Although considered benign, giant cell tumors are locally aggressive and tend to recur after removal. They can occasionally transform into malignant tumors. Complete surgical resection is the treatment of choice.<\/p><p>\u00a0<\/p><h3><strong><b>Hemangioma<\/b><\/strong><\/h3><p>Hemangiomas are common benign vascular tumors of the spine, often found incidentally. They are usually asymptomatic but may cause pain or neurological symptoms if large or located in critical areas. Treatment is usually conservative unless symptoms develop.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-46c2a5d e-con-full section e-flex e-con e-child\" data-id=\"46c2a5d\" data-element_type=\"container\" id=\"kakoitheis-ogkoi\">\n\t\t<div class=\"elementor-element elementor-element-a055f9b e-con-full e-flex e-con e-child\" data-id=\"a055f9b\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7165112 elementor-widget-tablet__width-initial elementor-widget elementor-widget-image\" data-id=\"7165112\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"51\" height=\"51\" src=\"https:\/\/spine-scoliosis.gr\/wp-content\/uploads\/2024\/04\/Ellipse-5.svg\" class=\"attachment-full size-full wp-image-70\" alt=\"Bullet Elipse\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ff33845 elementor-widget elementor-widget-heading\" data-id=\"ff33845\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Malignant Spinal Tumors<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-25d4815 number-list elementor-widget elementor-widget-text-editor\" data-id=\"25d4815\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3><strong><b>Chordoma<\/b><\/strong><\/h3><p>A rare malignant tumor arising from remnants of the notochord, mostly found at the base of the skull or sacrum, but can occur along the spine. It grows slowly but is locally aggressive and tends to recur after treatment. Surgery with wide excision and sometimes radiation therapy are the main treatments.<\/p><h3><strong><b>Chondrosarcoma<\/b><\/strong><\/h3><p>This cancer develops from cartilage cells and is rare in the spine. It is slow-growing but resistant to chemotherapy and radiation; thus, complete surgical excision is essential.<\/p><h3><strong><b>Osteosarcoma<\/b><\/strong><\/h3><p>A highly malignant tumor that forms bone tissue and is rare in the spine. It grows rapidly and spreads early. Treatment involves aggressive surgery and chemotherapy.<\/p><h3><strong><b>Ewing&#8217;s Sarcoma<\/b><\/strong><\/h3><p>An aggressive tumor mainly affecting children and young adults, often in the pelvis or long bones but can involve the spine. Treatment includes chemotherapy, radiation, and surgery.<\/p><h3><strong><b>Plasmacytoma and Multiple Myeloma<\/b><\/strong><\/h3><p>These are cancers originating from plasma cells, commonly affecting the spine. Multiple myeloma is systemic, while plasmacytoma is localized. Treatment includes radiation therapy, chemotherapy, and sometimes surgery to stabilize the spine.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8e02cc6 e-con-full e-flex e-con e-child\" data-id=\"8e02cc6\" data-element_type=\"container\" id=\"summary\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5cc789d elementor-widget-tablet__width-initial elementor-widget elementor-widget-image\" data-id=\"5cc789d\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"51\" height=\"51\" src=\"https:\/\/spine-scoliosis.gr\/wp-content\/uploads\/2024\/04\/Ellipse-5.svg\" class=\"attachment-full size-full wp-image-70\" alt=\"Bullet Elipse\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-155229b elementor-widget elementor-widget-heading\" data-id=\"155229b\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Summary<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a1e50d1 number-list elementor-widget elementor-widget-text-editor\" data-id=\"a1e50d1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The presence of a spinal tumor can severely affect a patient\u2019s quality of life due to pain, neurological deficits, or spinal instability. Early diagnosis and multidisciplinary management are crucial to optimize treatment outcomes. Imaging, biopsy, and understanding the tumor type and patient&#8217;s overall condition guide treatment decisions, which range from conservative management to aggressive surgical excision combined with chemo\/radiotherapy.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-28c8e2d7 e-con-full e-flex e-con e-parent\" data-id=\"28c8e2d7\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-53c0fa5f e-flex e-con-boxed e-con e-child\" data-id=\"53c0fa5f\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a15b789 elementor-widget-tablet__width-inherit elementor-widget-mobile__width-initial elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"a15b789\" data-element_type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<a class=\"elementor-icon\" href=\"https:\/\/spine-scoliosis.gr\/epikoinonia\/\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"208\" height=\"208\" viewBox=\"0 0 208 208\" fill=\"none\"><g clip-path=\"url(#clip0_317_1399)\"><path d=\"M155.878 44.1452L112.957 0.95875C112.655 0.654893 112.296 0.413758 111.9 0.249218C111.505 0.0846787 111.08 -1.82896e-05 110.652 2.96245e-09L16.6563 2.96245e-09C13.1019 0.00408578 9.69439 1.41784 7.18111 3.93111C4.66784 6.44439 3.25409 9.85195 3.25 13.4062V194.594C3.25409 198.148 4.66784 201.556 7.18111 204.069C9.69439 206.582 13.1019 207.996 16.6563 208H143.418C146.972 207.996 150.38 206.582 152.893 204.069C155.406 201.556 156.82 198.148 156.824 194.594V131.137L199.191 88.7701C202.763 85.1984 204.769 80.3541 204.769 75.3029C204.769 70.2517 202.763 65.4074 199.191 61.8357C195.619 58.264 190.775 56.2574 185.724 56.2574C180.673 56.2574 175.828 58.264 172.257 61.8357L156.823 77.2692V46.4348C156.823 45.5768 156.483 44.7537 155.878 44.1452ZM161.866 81.419L179.608 99.1603L117.411 161.357L99.6694 143.616L161.866 81.419ZM170.83 72.4551L188.571 90.1964L184.204 94.564L166.463 76.8219L170.83 72.4551ZM96.7314 149.866L111.096 164.231L93.1694 167.574L96.7314 149.866ZM115.508 12.7461L143.905 41.3164H115.508V12.7461ZM150.324 194.594C150.322 196.425 149.594 198.18 148.299 199.475C147.005 200.77 145.249 201.498 143.418 201.5H16.6563C14.8252 201.498 13.0698 200.77 11.7751 199.475C10.4803 198.18 9.75204 196.425 9.75 194.594V13.4062C9.75204 11.5752 10.4803 9.81978 11.7751 8.52505C13.0698 7.23032 14.8252 6.50204 16.6563 6.5H109.008V44.5656C109.008 45.4276 109.35 46.2542 109.96 46.8637C110.569 47.4732 111.396 47.8156 112.258 47.8156H150.323V83.7687L92.2748 141.819C91.822 142.272 91.5131 142.848 91.3868 143.476L85.8479 171.011C85.7431 171.533 85.7677 172.072 85.9198 172.581C86.0718 173.091 86.3465 173.555 86.7198 173.934C87.0931 174.313 87.5536 174.594 88.061 174.753C88.5683 174.912 89.107 174.945 89.6297 174.847L117.506 169.65C118.151 169.53 118.745 169.217 119.209 168.753L150.324 137.637V194.594ZM194.594 66.4324C196.935 68.7911 198.249 71.9797 198.249 75.3031C198.249 78.6265 196.935 81.8152 194.594 84.1738L193.167 85.6005L175.426 67.8592L176.852 66.4324C179.207 64.0833 182.397 62.764 185.723 62.764C189.049 62.764 192.239 64.0833 194.594 66.4324ZM82.0788 152.347C82.0788 153.209 81.7363 154.035 81.1269 154.645C80.5174 155.254 79.6907 155.597 78.8288 155.597H28.0869C27.225 155.597 26.3983 155.254 25.7888 154.645C25.1793 154.035 24.8369 153.209 24.8369 152.347C24.8369 151.485 25.1793 150.658 25.7888 150.049C26.3983 149.439 27.225 149.097 28.0869 149.097H78.8275C79.2544 149.096 79.6772 149.18 80.0716 149.344C80.4661 149.507 80.8245 149.746 81.1264 150.048C81.4283 150.35 81.6678 150.708 81.8313 151.103C81.9947 151.497 82.0788 151.92 82.0788 152.347ZM24.8381 124.023C24.8381 123.161 25.1805 122.334 25.79 121.725C26.3995 121.115 27.2262 120.773 28.0881 120.773H95.1336C95.9956 120.773 96.8222 121.115 97.4317 121.725C98.0412 122.334 98.3836 123.161 98.3836 124.023C98.3836 124.885 98.0412 125.711 97.4317 126.321C96.8222 126.93 95.9956 127.273 95.1336 127.273H28.0869C27.225 127.273 26.3983 126.93 25.7888 126.321C25.1793 125.711 24.8369 124.885 24.8369 124.023H24.8381ZM24.8381 95.6991C24.8381 94.8371 25.1805 94.0105 25.79 93.401C26.3995 92.7915 27.2262 92.4491 28.0881 92.4491H131.987C132.849 92.4491 133.676 92.7915 134.285 93.401C134.895 94.0105 135.237 94.8371 135.237 95.6991C135.237 96.5611 134.895 97.3877 134.285 97.9972C133.676 98.6067 132.849 98.9491 131.987 98.9491H28.0869C27.225 98.9491 26.3983 98.6067 25.7888 97.9972C25.1793 97.3877 24.8369 96.5611 24.8369 95.6991H24.8381ZM24.8381 67.3758C24.8381 66.5138 25.1805 65.6871 25.79 65.0777C26.3995 64.4682 27.2262 64.1258 28.0881 64.1258H131.987C132.849 64.1258 133.676 64.4682 134.285 65.0777C134.895 65.6871 135.237 66.5138 135.237 67.3758C135.237 68.2377 134.895 69.0644 134.285 69.6738C133.676 70.2833 132.849 70.6258 131.987 70.6258H28.0869C27.225 70.6258 26.3983 70.2833 25.7888 69.6738C25.1793 69.0644 24.8369 68.2377 24.8369 67.3758H24.8381ZM24.8381 39.052C24.8381 38.19 25.1805 37.3634 25.79 36.7539C26.3995 36.1444 27.2262 35.802 28.0881 35.802H96.8874C97.7493 35.802 98.576 36.1444 99.1855 36.7539C99.795 37.3634 100.137 38.19 100.137 39.052C100.137 39.914 99.795 40.7406 99.1855 41.3501C98.576 41.9596 97.7493 42.302 96.8874 42.302H28.0869C27.225 42.302 26.3983 41.9596 25.7888 41.3501C25.1793 40.7406 24.8369 39.914 24.8369 39.052H24.8381Z\" fill=\"white\"><\/path><\/g><defs><clipPath id=\"clip0_317_1399\"><rect width=\"208\" height=\"208\" fill=\"white\"><\/rect><\/clipPath><\/defs><\/svg>\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2fc8360c e-con-full e-flex e-con e-child\" data-id=\"2fc8360c\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-69c017a4 elementor-widget__width-inherit elementor-widget-tablet__width-auto elementor-widget-mobile__width-inherit elementor-widget elementor-widget-heading\" data-id=\"69c017a4\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\"><a href=\"https:\/\/spine-scoliosis.gr\/epikoinonia\/\">CONTACT US<\/a><\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1534195d elementor-widget__width-initial elementor-widget-mobile__width-inherit elementor-widget elementor-widget-image\" data-id=\"1534195d\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/spine-scoliosis.gr\/epikoinonia\/\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"36\" height=\"35\" src=\"https:\/\/spine-scoliosis.gr\/wp-content\/uploads\/2024\/04\/right-arrow-1-1.svg\" class=\"attachment-full size-full wp-image-280\" alt=\"Right Arrow 4\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cb446bc elementor-widget-tablet__width-inherit elementor-widget-mobile__width-initial elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"cb446bc\" data-element_type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<a class=\"elementor-icon\" href=\"tel:+302107218719\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"210\" height=\"208\" viewBox=\"0 0 210 208\" fill=\"none\"><g clip-path=\"url(#clip0_317_1401)\"><path d=\"M125.42 72.5473C136.587 75.5115 143.239 86.9228 140.247 97.9848C139.395 101.134 139.832 104.424 141.478 107.247C143.124 110.07 145.781 112.09 148.96 112.934C150.025 113.216 151.094 113.351 152.147 113.351C157.588 113.351 162.58 109.75 164.053 104.303C170.563 80.2388 156.094 55.4159 131.798 48.9678C125.233 47.2259 118.464 51.0973 116.705 57.5985C114.947 64.099 118.856 70.805 125.42 72.5473ZM124.629 59.7016C124.913 58.6482 125.595 57.7683 126.549 57.2232C127.184 56.86 127.889 56.6748 128.602 56.6748C128.96 56.6748 129.321 56.7215 129.676 56.8157C149.602 62.1044 161.47 82.4637 156.131 102.201C155.543 104.374 153.278 105.669 151.084 105.086C150.021 104.804 149.132 104.129 148.582 103.185C148.031 102.241 147.885 101.141 148.17 100.088C152.332 84.6988 143.079 68.8242 127.543 64.7002C125.348 64.1173 124.041 61.8749 124.629 59.7016Z\" fill=\"white\"><\/path><path d=\"M140.415 17.1164C133.854 15.3749 127.081 19.2462 125.322 25.7475C124.471 28.8965 124.908 32.1862 126.554 35.0094C128.199 37.8331 130.857 39.8525 134.036 40.6962C162.936 48.3666 180.148 77.8948 172.405 106.52C171.553 109.669 171.99 112.958 173.636 115.782C175.281 118.605 177.939 120.625 181.118 121.468C182.183 121.751 183.252 121.886 184.305 121.886C189.746 121.886 194.737 118.284 196.211 112.838C207.472 71.2104 182.443 28.2701 140.415 17.1164ZM188.288 110.734C187.7 112.908 185.438 114.203 183.241 113.62C182.178 113.338 181.29 112.663 180.74 111.719C180.74 111.719 180.74 111.719 180.74 111.719C180.189 110.774 180.043 109.674 180.328 108.621C189.242 75.6695 169.428 41.6777 136.159 32.8479C133.965 32.2654 132.658 30.023 133.246 27.8497C133.739 26.0282 135.408 24.8241 137.227 24.8241C137.579 24.8241 137.936 24.8692 138.293 24.9634C175.95 34.9587 198.379 73.4349 188.288 110.734Z\" fill=\"white\"><\/path><path d=\"M153.936 141.722C148.493 132.384 136.396 129.172 126.968 134.564L110.268 144.114C109.483 144.564 108.567 144.684 107.687 144.45C106.81 144.217 106.076 143.66 105.622 142.881L68.0272 78.3835C67.5732 77.604 67.4522 76.6965 67.6876 75.8271C67.9226 74.9578 68.4853 74.2315 69.272 73.7818L85.9714 64.2322C95.3983 58.8412 98.64 46.8587 93.1975 37.5215L77.0227 9.77258C71.5802 0.435052 59.4825 -2.77495 50.0552 2.61527L44.3818 5.85981C12.5748 24.0486 1.63818 64.4763 20.0015 95.98L33.8188 119.684C34.9512 121.627 37.4592 122.293 39.4213 121.171C41.3829 120.049 42.0551 117.565 40.9224 115.622L27.1054 91.9178C13.9282 69.3121 17.9602 41.468 35.1432 23.3568L61.9917 69.4169C60.9606 70.6632 60.1978 72.1219 59.7643 73.7249C58.9621 76.6904 59.3738 79.7874 60.9237 82.4462L98.519 146.943C100.068 149.602 102.571 151.504 105.565 152.298C107.183 152.728 108.84 152.803 110.445 152.541L137.135 198.33C127.846 200.51 118.101 200.391 108.621 197.876C93.5523 193.876 80.9575 184.304 73.1576 170.922L59.3775 147.282C58.2447 145.339 55.7368 144.673 53.7751 145.795C51.8134 146.917 51.1412 149.401 52.274 151.344L66.0541 174.985C74.9494 190.246 89.3131 201.162 106.498 205.723C112.237 207.246 118.06 208 123.846 208C135.387 208 146.778 205.001 157.041 199.132L162.715 195.888C167.281 193.276 170.548 189.06 171.913 184.015C173.278 178.97 172.577 173.7 169.94 169.177L153.936 141.722ZM48.4827 12.8961L54.1561 9.65153C56.8253 8.12493 59.9353 7.71992 62.912 8.50963C65.8892 9.29974 68.3775 11.1911 69.9188 13.8349L86.0936 41.5838C89.2746 47.0415 87.3802 54.0452 81.87 57.1963L68.7224 64.7148L41.328 17.7184C43.5583 15.9635 45.9436 14.3483 48.4827 12.8961ZM163.989 181.912C163.191 184.861 161.281 187.326 158.612 188.852L152.939 192.097C150.414 193.541 147.812 194.786 145.15 195.831L117.922 149.119L131.07 141.601C136.581 138.45 143.651 140.327 146.833 145.784L162.836 173.24C164.377 175.884 164.787 178.964 163.989 181.912Z\" fill=\"white\"><\/path><path d=\"M46.6426 129.397C45.5598 129.397 44.5058 129.832 43.7388 130.587C42.976 131.343 42.5413 132.387 42.5413 133.459C42.5413 134.528 42.976 135.576 43.7388 136.331C44.5058 137.087 45.5639 137.522 46.6426 137.522C47.7212 137.522 48.7794 137.087 49.5422 136.331C50.3051 135.576 50.7439 134.528 50.7439 133.459C50.7439 132.387 50.3051 131.343 49.5422 130.587C48.7794 129.831 47.7212 129.397 46.6426 129.397Z\" fill=\"white\"><\/path><\/g><defs><clipPath id=\"clip0_317_1401\"><rect width=\"210\" height=\"208\" fill=\"white\"><\/rect><\/clipPath><\/defs><\/svg>\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Tumors \u2013 Spinal Cancer Classification of Spinal Tumors What are the symptoms? Spinal Cancer: How is it diagnosed? Treatment \u2013 Management Benign Spinal Tumors Malignant Spinal Tumors Summary Tumors \u2013 Spinal Cancer Metastasis of cancer to the spine is a common progression in advanced cancer, given that almost all cancers metastasize to bones, mainly the [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":1758,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"inline_featured_image":false,"footnotes":""},"class_list":["post-4540","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/spine-scoliosis.gr\/en\/wp-json\/wp\/v2\/pages\/4540","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/spine-scoliosis.gr\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/spine-scoliosis.gr\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/spine-scoliosis.gr\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/spine-scoliosis.gr\/en\/wp-json\/wp\/v2\/comments?post=4540"}],"version-history":[{"count":16,"href":"https:\/\/spine-scoliosis.gr\/en\/wp-json\/wp\/v2\/pages\/4540\/revisions"}],"predecessor-version":[{"id":4826,"href":"https:\/\/spine-scoliosis.gr\/en\/wp-json\/wp\/v2\/pages\/4540\/revisions\/4826"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/spine-scoliosis.gr\/en\/wp-json\/wp\/v2\/media\/1758"}],"wp:attachment":[{"href":"https:\/\/spine-scoliosis.gr\/en\/wp-json\/wp\/v2\/media?parent=4540"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}