By Ziya L. Gokaslan, Stefano Boriani, Charles G Fisher, Luiz Roberto Gomes Vialle
This moment quantity within the AOSpine Masters sequence balances serious appraisal of present proof in backbone oncology with the evaluations of skilled backbone surgeons to create a special medical reference for backbone oncology surgeons. The e-book offers specialist suggestions to assist clinicians make the perfect remedy judgements and supply the easiest take care of their sufferers. The chapters were written and researched through key leaders in backbone oncology and variety from normal review, staging, and determination making rules to histology-specific oncologic sufferer management.
- Editors are internationally-recognized specialists at the remedy of basic backbone tumors
- Synthesizes the easiest to be had proof and consensus specialist recommendation on basic backbone tumors, resulting in optimum medical suggestions
- Each bankruptcy contains medical pearls, tips about hardship avoidance, and best 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 proportion their services and suggestions on a specific subject. The objective of the sequence is to give a contribution to an evolving, dynamic version of an evidence-based medication method of backbone care.
All neurosurgeons, orthopedic surgeons, neuro-oncologists, and orthopedic oncologists focusing on backbone, besides citizens and fellows in those components, will locate this ebook to be an exceptional source that they're going to frequently confer with of their remedy of sufferers with fundamental tumors of the spine.
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Additional resources for AOSpine masters series. Volume 2, Primary spinal tumors
0001). 0485) compared with an EA approach. The most significant limitation of this study was that the EI cohort had more high-grade tumors; however, the EI group also had a significantly higher rate of adjuvant therapy, which should bias toward the null hypothesis, thus strengthening the conclusions. ■■ Feasibility of Obtaining Acceptable Margins In a systematic review published in 2009, Yamazaki et al1 assessed the early efficacy of enbloc resection techniques by determining the number of wide/marginal resections versus the number of intralesional resections.
Local and systemic staging using Enneking’s approach identifies patients who may be cured, or at least have a better chance at long-term disease control and reduced mortality with en-bloc resection. 1 However, the adverse-event profile of these surgeries is very high, even at experienced centers. Therefore, we recommend that only experienced, multidisciplinary teams perform them. The need for careful patient selection including detailed preoperative counseling cannot be overstated. Pearls ◆◆ Enneking’s principles of oncological staging are valid with respect to primary spine tumors.
Surgery of primary tumors has a curative purpose. Oncologically appropriate surgical treatment can substantially improve the prognosis and can be considered a lifesaving procedure. Shared decision making with the patient is imperative in all cases of primary tumor resection. The patient’s acceptance of functional loss to achieve better local control and prognosis, versus a preference for saving function despite the increased risk of local recurrence and decreased survival, must be discussed. Intentional violation of oncological principles such as planned intralesional transgression to preserve vital structures or reduce morbidity1 can be considered and should be discussed with the patient and a multidisciplinary team.