The Role of Surgical Therapy

Principles of Effective Surgical Treatment
  • Robert F. Mclain
Part of the Current Clinical Oncology book series (CCO)


The correct treatment of any spinal column tumor depends on a number of characteristics or factors unique to the individual patient and their individual tumor. There is a broad spectrum of therapies available to treat spinal tumors, ranging from observation to total vertebrectomy. Both undertreatment and overtreatment can lead to trouble. A successful surgical plan follows from a concise, step-wise investigational algorithm:
  1. 1.

    Identify and characterize the tumor.

  2. 2.

    Classify the tumor as stage and extension.

  3. 3.

    Identify an indication for surgery—relative or absolute.

  4. 4.

    Review the non-operative options.

  5. 5.

    Review the options for resection and reconstruction.

  6. 6.

    Determine the role of adjuvant therapy.

  7. 7.

    Formulate a treatment plan that takes all steps into consideration.



Vertebral Body Spinal Cord Compression Giant Cell Tumor Aneurysmal Bone Cyst Marginal Excision 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Humana Press, Inc., Totowa, NJ 2006

Authors and Affiliations

  • Robert F. Mclain
    • 1
  1. 1.Lerner College of Medicine and The Cleveland Clinic Spine Institute, Department of Orthopaedic SurgeryThe Cleveland Clinic FoundationCleveland

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