Prosthetic surgery gives better mechanical stability and more tumour resection than other techniques can give, in patients with skeletal metastases. Therefore improve their quality of live and the disease local control. In that way it can secondarily increase their vital prognostic. On the other hand it has more morbidity and longer rehabilitation period. The controversial point is, when is surgery indicated and what is the more adequate technique in each case?. It’s mandatory to make a multidisciplinary approach including always the MD Oncologist, and having treatment algorithms taking account of the live expectative and the possibilities of adjuvant treatments, as well as the expected efficacy of the different techniques. We will do an analysis of the different scoring systems of pre-surgical evaluation in this pathology and the different surgical indications of endoprosthesis depending on the metastasis site and the patient prognostic. Well as a review of the literature of the results by different authors with prosthetic surgery applied to skeletal metastases.

Prosthetic surgery gives better mechanical stability and more tumour resection than other techniques can give, in patients with skeletal metastases. Therefore improve their quality of live and the disease local control. In that way it can secondarily increase their vital prognostic. On the other hand it has more morbidity and longer rehabilitation period. The controversial point is, when is surgery indicated and what is the more adequate technique in each case?. It’s mandatory to make a multidisciplinary approach including always the MD Oncologist, and having treatment algorithms taking account of the live expectative and the possibilities of adjuvant treatments, as well as the expected efficacy of the different techniques. We will do an analysis of the different scoring systems of pre-surgical evaluation in this pathology and the different surgical indications of endoprosthesis depending on the metastasis site and the patient prognostic. Well as a review of the literature of the results by different authors with prosthetic surgery applied to skeletal metastases.