AOSpine masters series. Volume 2, Primary spinal tumors by Ziya L. Gokaslan, Stefano Boriani, Charles G Fisher, Luiz

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

This moment quantity within the AOSpine Masters sequence balances severe appraisal of present facts in backbone oncology with the evaluations of skilled backbone surgeons to create a special medical reference for backbone oncology surgeons. The publication presents specialist counsel to aid clinicians make the best remedy judgements and supply the easiest take care of their sufferers. The chapters were written and researched by way of key leaders in backbone oncology and variety from common evaluate, staging, and choice making ideas to histology-specific oncologic sufferer management.

Key Features:

  • Editors are internationally-recognized experts at the remedy of fundamental backbone tumors
  • Synthesizes the simplest on hand proof and consensus professional suggestion on basic backbone tumors, resulting in optimum scientific innovations
  • Each bankruptcy contains scientific pearls, pointers on difficulty avoidance, and most sensible five must-read references

The AOSpine Masters sequence, a co-publication of Thieme and the AOSpine origin, addresses present scientific concerns wherein foreign masters of backbone percentage their services and proposals on a specific subject. The aim 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 a superb source that they are going to frequently consult with of their therapy of sufferers with fundamental tumors of the spine.

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3). Prophylactic antibiotics should be used with this approach, as it is difficult to create a sterile field along the posterior pharyngeal wall though which the biopsy needle is inserted. This is a relatively a b Fig. 1a,b Posterior approach. (a) Computed tomography (CT) scan of a patient in the prone position shows a well-defined lytic lesion (arrow) in the T1 vertebral body. (b) CT-fluoroscopy–guided transpedicular biopsy needle placement from the posterior approach inside the lesion. 26 Chapter 3 a b Fig.

I prefer CT fluoroscopy in most cases as it provides excellent spatial and contrast resolution for precise lesion localization and identification of important intervening structures. This enables the operator to select a safe biopsy needle trajectory to access the target lesion. CT fluoroscopy provides a prompt display of continuously updated images that show the exact There are several commercial biopsy needle systems available. The selection depends on lesion location and whether the lesion is soft tissue, cystic, or osseous in nature.

Percutaneous techniques are being increasingly utilized in both diagnostic and therapeutic interventions of primary spine tumors. This chapter discusses the interventional techniques of spine biopsy, vertebral augmentation, and preoperative embolization, with an emphasis on how they apply to primary tumors of the spine. ■■ Image-Guided Spine Biopsy The biopsy represents the final phase of the local workup for a spinal lesion. If primary spinal tumor is in the differential diagnosis, then the physician doing the biopsy should discuss the plan with the spine surgeon coordinating the patient care to ensure that the biopsy tract will not compromise definitive management.

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