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This practical, step-wise text covers the surgical approaches, resection strategies and reconstruction techniques used for each type of presenting tumor of the spine. Demonstrating the variety of anterior, posterior and intradural approaches and stabilization techniques, and spanning from pathologies of the craniocervical region to sacral and intradural pathologies, each chapter is generously illustrated with figures, radiographs and intraoperative photos. The chapters themselves follow a consistent and user-friendly format: the anatomy and biomechanics of a specific region, patient evaluation, essential oncologic principles, the decision-making process, and technical steps of surgery. A representative case illustration is provided at the conclusion of each chapter, exemplifying pertinent concepts described. Additionally, video segments accompany selected chapters, providing real-time illustration of surgical techniques. Technical and in-depth, yet highly accessible, Spinal Tumor Surgery: A Case-Based Approach is an essential resource for orthopedic spine surgeons, neurosurgeons, and surgical oncologists operating on tumors of the spine.
This book describes and illustrates an approach to surgery for spinal cord tumors that is based on a refined concept of anatomic compartmentalization. The aim of this approach is to enable maximum preservation of spinal cord function through confinement of the surgical work to the involved compartment or compartments. Importantly, this involvement differs according to tumor type, and the classification favored by the author takes this fully into account. After introductory chapters on epidemiology and pathology, the anatomy of the spinal cord relevant to surgery for spinal cord tumors is discussed in detail and the proposed classification is clearly explained. The surgical approach to each of the identified anatomic compartments is then described, with attention to the roles of intraoperative mapping techniques, diffusion tensor imaging, and electrophysiologic studies in ensuring that spinal cord functions are spared. Examples of the author’s experience when applying the proposed approach are presented. The book is meant for neurosurgeons at all levels of experience.
This book contains the expert knowledge base of the field’s most experienced practitioners in the field of extradural bone and soft tissue malignancy. Chapters include modern classification, advanced anatomy, imaging, and the concepts around a multidisciplinary approach. Since treating primary tumors requires very different strategies than those used in metastatic tumors, the book devotes separate sections to each sub-discipline. For primary tumors, the text covers both benign and malignant entities and addresses unique anatomic zones such as the sacrum and skull base which require special technical expertise. For metastatic disease, the authors address the ever-important concept of prognosis, and discuss how to answer the eternal question: “How much should we do, and for whom?”. Chapters also explore the state of the art of treatment for the “big 5” histologies (renal cell, lung, breast, prostate, thyroid), with a special chapter emphasis on separation surgery and the now-standard combinatorial care between radiation and surgery. In addition, an entire section is dedicated to evolving surgical technology, which covers the use of minimally invasive techniques, navigation, robotics, 3D-printing, and other evolving technologies for spine tumor care. Infrequently-considered topics, such as how to evaluate a lesion which may be a tumor-mimic, and how to think about economic value in spine tumor surgery, are also presented. Surgical Spinal Oncology serves to help surgeons approach difficult clinical scenarios with a thoughtful, collaborative approach that leverages the best technology and thinking the field of spine oncology has to offer.
Every Clinics issue brings you todayÆs best thinking on the challenges you face. Whether you purchase these issues individually, or order a personal subscription (which includes online access to current and past issues at www.theclinics.com), the Clinics offer you an efficient way to update your know howàone issue at a time. Book jacket.
A comprehensive guide to anesthesia specifically for spine surgery, explaining procedures from the point of view of both anesthesiologists and surgeons.
Here is the first book in 30 years to cover all diagnostic and therapeutic aspects of intramedullary spinal cord tumors (IMTs), a relatively rare but often misdiagnosed type of tumor. You will benefit from the largest personal collection of operated cases (171) ever assembled, as well as a review of 1,100 additional cases, making this the single most comprehensive book on IMTs available today. You will also appreciate the vital role of MRI in accurately diagnosing these tumors and review the latest technical refinements in surgical methods. Divided into three parts, the book begins with the diagnostic and therapeutic problems common to all intramedullary spinal cord tumors, then covers the histology of individual tumors, and finally examines the controversial value of radiotherapy in the treatment of both benign and malignant tumors in children and adults. Throughout, full-color illustrations depict anatomy from a surgical point of view.
Presents authorataive coverage of state-of-the-art techniques for diagnosing and managing tumors of the spine and spinal cord. Covers fundamentals of spinal cord anatomy and the pathology of spinal tumors to evaluation, diagnosis, and treatment techniques for specific spinal tumors.
This book provides state-of-the-art, in-depth knowledge of spinal cord tumor surgery. After an introduction to the history and etiology of spinal cord tumor treatment, the molecular biology, cytogenetics and pathology of this group of tumors is discussed. The pathological anatomy of spinal cord tumors is described and the book focuses in depth on their diagnosis and the surgical approaches that can be used in their treatment. Microsurgery resection techniques, auxiliary treatment options, prognosis and outcomes of spinal cord, and spinal nerve tumors are all covered in detail. Spinal Cord Tumors is aimed at neurosurgeons and may also be of interest to neurologists, neuro-oncologists, radiologists, physiatrists, pathologists, geneticists, orthopedic surgeons, physical and occupational therapists, and other interested scientists.
Achieve optimal outcomes for your patients with this new multimedia reference. Organized by tumor then by region, this resource details diagnostic and therapeutic options for primary and malignant spinal tumors. Over 25 key procedures--including minimally invasive surgery--are presented in a concise, stepwise fashion, putting the key information you need right at your fingertips! Over 600 illustrations round out this exhaustive new reference. Keep up to date on the latest advances in diagnosis and therapy with discussions of the latest surgical techniques, including minimally invasive spine surgery. Chapter templating helps you understand the entire procedure as well as key aspects, pearls and pitfalls, before heading into the OR. Have all the information you need to make a diagnosis and plan patient management with oversized, full color clinical photos and line drawings that illustrate key diagnoses and surgical procedures.
Adults with spinal cord tumors are exceedingly rare, and written accounts of what it's like to survive tumor-removal surgery are even more rare. Through this book, Dawn hopes to give those who are on a similar journey the reassurance that they are not alone. She not only offers a glimpse into what their post-surgical experience might be like, she also offers insights on how they might accept their body's new language with curiosity, humor, gratitude and grace.