The role of multidisciplinary team meetings in the management of spinal tumors.

Multidisciplinary meetings (MDMs) are increasingly central to spinal oncology, where complex decision-making must balance neurological, oncological, biomechanical, and systemic factors. This review aims to analyze the structure, clinical value, limitations, and future directions of MDMs in the management of spinal tumors. Narrative review of the literature on MDMs in spinal oncology, focusing on their impact on diagnosis, treatment planning, surgical coordination, and longitudinal care. Articles were selected from PubMed and Google Scholar databases and supplemented with international consensus documents and high-level evidence on decision frameworks. MDMs improve diagnostic accuracy, reduce unnecessary surgeries, and enhance treatment sequencing and outcome, especially in cases of metastatic epidural spinal cord compression. Structured frameworks facilitate individualized decisions based on shared parameters. However, variability persists in access, role participation, and documentation practices. Emerging technologies may improve triage and equity, while standardized prognostic models support better outcome prediction. MDMs represent a critical element of modern spine tumor care but require standardization, institutional support, and integration of patient-centered tools. Future models should prioritize continuity across the disease course, equitable access, and the use of structured clinical frameworks to support data-driven and ethically grounded decision-making.