Journal of Neuro-Oncology

, Volume 107, Issue 3, pp 443–455

Emerging techniques in the minimally invasive treatment and management of thoracic spine tumors

Authors

  • Zachary A. Smith
    • The Spine Clinic of Los Angeles, Affiliate of the University of Southern CaliforniaThe Hospital of the Good Samaritan
    • Department of Neurological SurgeryNorthwestern University
  • Isaac Yang
    • Department of NeurosurgeryRonald Reagan-UCLA Medical Center, David Geffen-UCLA School of Medicine
  • Alessandra Gorgulho
    • Department of NeurosurgeryRonald Reagan-UCLA Medical Center, David Geffen-UCLA School of Medicine
  • Dan Raphael
    • The Spine Clinic of Los Angeles, Affiliate of the University of Southern CaliforniaThe Hospital of the Good Samaritan
  • Antonio A. F. De Salles
    • Department of NeurosurgeryRonald Reagan-UCLA Medical Center, David Geffen-UCLA School of Medicine
    • Department of NeurosurgeryWest Los Angeles Veteran’s Administration Hospital
    • The Spine Clinic of Los Angeles, Affiliate of the University of Southern CaliforniaThe Hospital of the Good Samaritan
Topic Review

DOI: 10.1007/s11060-011-0755-6

Cite this article as:
Smith, Z.A., Yang, I., Gorgulho, A. et al. J Neurooncol (2012) 107: 443. doi:10.1007/s11060-011-0755-6

Abstract

Over the past decade, the development and refinement of minimally invasive spine surgery techniques has lead to procedures with the potential to minimize iatrogenic and post-operative sequelae that may occur during the surgical treatment of various pathologies. In a similar manner, parallel advances in other current treatment technologies have led to the development of other minimally invasive treatments of spinal malignancies. These advances include percutaneous techniques for vertebral reconstruction, including vertebroplasty and kyphoplasty, the development of safe and effective spinal radiosurgery, and minimal-access spinal surgical procedures that allow surgeons to safely decompress and reconstruct the anterior spinal column. The advent of these new techniques has given modern practitioners treatment options in situations where they previously were limited by the potentially significant morbidities of the available techniques. Here, the authors discuss the application of current minimally invasive technologies in the treatment of malignancies of the thoracic spine, focusing on vertebral kyphoplasty, spinal radiosurgery, and minimally invasive spinal decompression techniques. The author’s describe how these emerging treatment options are significantly expanding the options open to clinicians in the treatment of thoracic spinal column malignancies. Specific illustrative case examples are provided. The development of these techniques has the potential to improve clinical outcomes, limit surgical morbidity, and also improve the safety and efficiency of treatment pathways.

Keywords

VertebroplastyMinimally invasive spineSpine surgerySpinal radiosurgeryLateral extracavitaryLateral interbody

Abbreviations

ALIF

Anterior lumbar interbody fusion

EBRT

External beam radiation therapy

Gy

Gray

IDL

Isodoseline

IMRT

Intensity modulated radiation therapy

LINAC

Linear accelerator

MIS

Minimally invasive spine

OAR

Object at risk

XLIF

eXtreme lateral interbody fusion

Copyright information

© Springer Science+Business Media, LLC. 2011