Anterior spinal separation surgery to allow for stereotactic body radiotherapy: a novel approach permitting radical oncological treatment of oligometastatic disease.
- Resource Type
- Case Study
- Authors
- Saha, Priyanshu; Ajayi, Bisola; Minhas, Pawan; Lui, Darren F
- Source
- Journal of Surgical Case Reports. May2023, Vol. 2023 Issue 5, p1-4. 4p.
- Subject
- *STEREOTACTIC radiotherapy
*SPINAL surgery
*THERAPEUTICS
*STEREOTAXIC techniques
*PAIN management
*INTERVERTEBRAL disk prostheses
*ONCOLOGIC surgery
- Language
- ISSN
- 2042-8812
The treatment of spinal cancers has rapidly evolved in the past decade. Often the treatment for spinal metastases required highly morbid surgeries and with palliative outcomes. However, a paradigm shift in surgical oncology has allowed spinal metastases treatment to have curative results. In the state of oligometastatic disease (OMD), the accompaniment of Stereotactic Body Radiotherapy (SBRT) as a primary modality or adjuvant treatment to surgery has been shown to excellent survival outcomes, lower morbidities and better pain management. This case report illustrates a novel approach to the treatment of spinal OMD utilizing anterior spinal separation surgery with a custom carbon fibre vertebral body replacement cage followed by postoperative SBRT with excellent radio-oncological outcomes over 30-month follow-up. [ABSTRACT FROM AUTHOR]