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Intradural Spinal Lesions

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CyberKnife NeuroRadiosurgery

Abstract

For benign spinal lesions, surgery represents the first option to alleviate neurological deficits and intractable pain. Nevertheless, recurrence is common after surgery. Furthermore, there are circumstances in which surgery is contraindicated due to clinical conditions or technical aspects (i.e., tumors massively extending beyond the limits of the spinal column).

In such cases, radiosurgery may represent a safe and effective treatment option. Recent advances in imaging technology have enabled the safe delivery of high-dose radiation to spinal tumors lying in close proximity to the spinal cord, introducing the concept of image-guided spinal radiosurgery.

Image-guided stereotactic radiosurgery allows the delivery of high doses in a single or in a limited (2–5) number of fractions because of a higher level of conformality compared to FSRT and IMRT. A substantial body of data supports a number of benefits of spine SRS over conventionally fractionated external beam radiotherapy (cEBRT), including several evidence-based reviews. Here we describe our experience with the treatment of benign spinal lesions, including intramedullary vascular malformations.

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Correspondence to Kita Sallabanda .

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Sallabanda, K., Sallabanda, M., Gerszten, P. (2020). Intradural Spinal Lesions. In: Conti, A., Romanelli, P., Pantelis, E., Soltys, S., Cho, Y., Lim, M. (eds) CyberKnife NeuroRadiosurgery . Springer, Cham. https://doi.org/10.1007/978-3-030-50668-1_41

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