Research progress in separation surgery combined with stereotactic radiotherapy of spinal metastases.
10.12200/j.issn.1003-0034.2023.09.021
- Author:
Xiong-Wei ZHAO
1
;
Xu-Yong CAO
2
;
Yao-Sheng LIU
2
Author Information
1. Department of Orthopaedics, the Fifth Medical Center of PLA General Hospital, Beijing 100071, China.
2. Department of Orthopaedics, the Fifth Medical Center of PLA General Hospital, Beijing 100071, China; Department of Orthopedics, PLA General Hospital, National Clinical Research Center of Orthopedics and Sports Rehabilitation, Beijing 100071, China.
- Publication Type:Journal Article
- Keywords:
Hybrid therapy;
Laser Interstitial Thermotherapy;
Separation surgery;
Spinal metastases;
Stereotactic radiotherapy
- MeSH:
Humans;
Radiosurgery;
Spinal Neoplasms/surgery*;
Spine;
Decompression, Surgical;
Fracture Fixation, Internal
- From:
China Journal of Orthopaedics and Traumatology
2023;36(9):905-910
- CountryChina
- Language:Chinese
-
Abstract:
With the continuous improvement of cancer treatment, the survival of patients with spinal metastases has been significantly prolonged. Currently, the treatment of spinal metastases presents a trend of multi-mode. Clinical surgical methods include vertebral tumor resecting spinal canal decompression and internal fixation surgery, separation surgery, minimally invasive surgery and percutaneous ablation technology, etc. Radiotherapy techniques include traditional external radiation therapy, stereotactic radiotherapy and brachytherapy, etc. The risk of vertebral tumor resecting spinal canal decompression and internal fixation surgery, and the incidence of intraoperative and postoperative complications is high. The extension of postoperative recovery period may lead to delay of follow-up radiotherapy and other medical treatment, which has a serious impact on patients' survival and treatment confidence. However, the precision of traditional external radiation therapy is not high, and the limitation of tolerance of spinal cord makes it difficult to achieve the goal of controlling insensitive tumor. With the development of radiotherapy and surgical technology, stereotactic radiotherapy with higher accuracy and separation surgery with smaller surgical strike have become the focus of many clinical experts at present. This article reviews the progress of Hybrid treatment of separation surgery combined with stereotactic radiotherapy.
