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Type: Artigo de periódico
Title: An Update In The Management Of Spinal Metastases.
Author: Joaquim, Andrei F
Powers, Ann
Laufer, Ilya
Bilsky, Mark H
Abstract: The best clinical treatment for spinal metastases requires an integrated approach with input from an interdisciplinary cancer team. The principle goals of treatment are maintenance or improvement in neurologic function and ambulation, spinal stability, durable tumor control, and pain relief. The past decade has witnessed an explosion of new technologies that have impacted our ability to reach these goals, such as separation surgery and minimally invasive spinal procedures. The biggest advance, however, has been the evolution of stereotactic radiosurgery that has demonstrated durable tumor control both when delivered as definitive therapy and as a postoperative adjuvant even for tumors considered markedly resistant to conventional external beam radiation. In this paper, we perform an update on the management of spinal metastases demonstrating the integration of these new technologies into a decision framework NOMS that assesses four basic aspects of a patient's spine disease: Neurologic, Oncologic, Mechanical Instability and Systemic disease.
Subject: Combined Modality Therapy
Decision Making
Radiation Tolerance
Spinal Cord Compression
Spinal Diseases
Spinal Neoplasms
Treatment Outcome
Citation: Arquivos De Neuro-psiquiatria. v. 73, n. 9, p. 795-802, 2015-Sep.
Rights: fechado
Identifier DOI: 10.1590/0004-282X20150099
Date Issue: 2015
Appears in Collections:Unicamp - Artigos e Outros Documentos

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