Home > Riviste > Journal of Neurosurgical Sciences > Fascicoli precedenti > Journal of Neurosurgical Sciences 2011 September;55(3) > Journal of Neurosurgical Sciences 2011 September;55(3):197-209

ULTIMO FASCICOLO
 

ARTICLE TOOLS

Estratti

JOURNAL OF NEUROSURGICAL SCIENCES

Rivista di Neurochirurgia


Indexed/Abstracted in: e-psyche, EMBASE, PubMed/MEDLINE, Neuroscience Citation Index, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,651


eTOC

 

  DISCOVERING NEW FRONTIERS IN NEUROSURGERY


Journal of Neurosurgical Sciences 2011 September;55(3):197-209

Copyright © 2011 EDIZIONI MINERVA MEDICA

lingua: Inglese

Stereotactic radiosurgery for spinal metastases: update on treatment strategies

Shin J. H. 1, Chao S. T. 2, Angelov L. 3

1 Department of Neurosurgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA;
2 Department of Radiation Oncology, Cleveland Clinic, Cleveland, OH, USA;
3 Department of Neurosurgery, Cleveland Clinic, Cleveland, OH, USA


PDF  


Metastatic tumors are the most common tumors that affect the spinal column and are the source of significant pain and disability in cancer patients. The management of symptomatic spinal metastases presents unique challenges to surgeons as a number of considerations specific to the underlying tumor histology, extent of disease, the functional status of the patient and response to systemic therapy often affect the role, timing and effectiveness of any surgical intervention. As surgical techniques have evolved, the focus of therapy has shifted towards minimizing the morbidity associated with treatments for patients in whom limited nutrition and functional reserve impact their overall survival. As such, stereotactic spinal radiosurgery (SRS) has emerged as a powerful adjunct to surgery as well as a stand-alone treatment option for patients with metastatic disease. Recent technological innovations such as intensity-modulated radiation therapy, image-guidance, and non-invasive spine immobilization have made significant improvements to the delivery of highly conformal radiation to spinal tumors. In this article, current treatment strategies utilizing SRS in the multidisciplinary management of spinal metastases are discussed.

inizio pagina

Publication History

Per citare questo articolo

Corresponding author e-mail

johnhongshin@gmail.com