By Ziya L. Gokaslan, Stefano Boriani, Charles G Fisher, Luiz Roberto Gomes Vialle

This first quantity within the AOSpine Masters sequence integrates the services of oncologists and radiology interventionalists with that of grasp backbone surgeons, all of whom are actively all in favour of the care of sufferers with metastatic backbone tumors. The publication presents specialist information to assist clinicians make the best therapy judgements and supply the easiest take care of their sufferers. bankruptcy themes diversity from evaluate and decision-making rules to a spectrum of non-operative and operative healing procedures which have been quickly evolving during the last decade.

Key Features:

  • Editors are internationally-recognized specialists on metastatic backbone tumors
  • Includes contributions from key opinion leaders operating in backbone oncology
  • Synthesizes the easiest on hand facts and consensus specialist suggestion on metastatic backbone tumors, resulting in optimum scientific suggestions
  • Each bankruptcy comprises medical pearls, tips about hassle avoidance, and most sensible five must-read references

The AOSpine Masters sequence, a co-publication of Thieme and the AOSpine beginning, addresses present scientific matters wherein overseas masters of backbone percentage their services and proposals on a selected subject. The target of the sequence is to give a contribution to an evolving, dynamic version of an evidence-based drugs method of backbone care.

All neurosurgeons, orthopedic surgeons, neuro-oncologists, and orthopedic oncologists focusing on backbone, in addition to citizens and fellows in those parts, will locate this publication to be an outstanding advisor that they are going to seek advice frequently of their therapy of sufferers with metastatic backbone tumors.

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Extra info for AOSpine Masters Series Volume 1: Metastatic Spinal Tumors

Sample text

10 We favor occipitocervical fixation over short-segment approaches because it protects the patient against the potential loss of stability due to progression of the destructive process. , rigid collar or halo vest) can be avoided. Subaxial Cervical Spine From C3 through C6, corpectomy reconstructed with a cage and plate is the most common ­approach. A combined anterior/posterior stabilization is often necessary for multilevel disease, circumferential tumor involvement, severe instability/deformity, and poor bone quality.

D. 3 months). In the MDACC study, the incidence of new or progressive VCF in 93 patients with 123 spinal metastases treated with SABR was 20%. Unlike the MSKCC study where a single-fraction regimen was used for SABR for all patients, approximately two thirds of the patients in the MDACC cohort received either 27 Gy in three fractions or 20 to 30 Gy in five fractions. Factors predicting development of VCF included age > 55 years, a preexisting fracture, and baseline pain. Obesity was found to have a protective effect.

Total SINS = 3 + 1 + 2 + 0 + 2 + 1 = 9 (potential instability, surgical referral recommended). Neoplastic Spinal Instability a d b c e Fig. 3a–e Computed tomography (CT) images of (a) select left parasagittal view, (b) select midline sagittal view, (c) select right parasagittal view, (d) representative coronal view, and (e) axial view of a C4 lesion in a 54-year-old woman with known metastatic sarcoma who presents with neck pain exacerbated by any movement and improved with application of a cervical collar.

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