This is Episode 15a, the first in our new two-part foundational series on Spinal Metastases. Today's episode is titled: "Spine Mets Part 1: Anatomy & Initial Workup."Metastatic disease to the spine is one of the most common and challenging scenarios we face. It can cause debilitating pain, catastrophic neurologic injury, and profoundly impact quality of life. Correct management requires a rapid, systematic approach, and that starts with an impeccable understanding of spinal anatomy and how to interpret imaging. Today, we will build that foundation. We will cover the complete workup, from clinical presentation and imaging to the indications for biopsy. We’ll also refresh our knowledge of essential spinal anatomy, including how to reliably count vertebral levels and ribs on imaging.

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