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Treatment of SP is largely composed of retrospective studies on small
number of patients
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Currently, the standard of care for SBP is definitive RT, being SBP a
highly radiosensitive disease, for which excellent local control rates can
be achieved with RT alone (lesion size as prognostic factor; cut off 5 cm)
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In some cases (bone instability, rapidly progressive neurological
symptoms) surgical intervention may be required