Margins in Spine Tumor Resection: How Much Is Enough? Is Planned Transgression Okay?
11 Margins in Spine Tumor Resection: How Much Is Enough? Is Planned Transgression Okay? Ilya Laufer, Mari L. Groves, and Jean-Paul Wolinsky Introduction Cure, or long-term local control, represents the…
Radiation Therapy for Primary Bone Tumors
4 Radiation Therapy for Primary Bone Tumors Brent Y. Kimball and Yoshiya (Josh) Yamada Introduction Primary malignant bone tumors of the spine present significant treatment challenges with regard to achieving…
Structural Graft Selection
14 Structural Graft Selection Y. Raja Rampersaud Introduction Resection of primary spinal or paraspinal tumors with direct spine invasion typically requires complex and at times innovative reconstruction techniques. Furthermore, for…
Spinopelvic Reconstruction/Fixation and Fusion
13 Spinopelvic Reconstruction/Fixation and Fusion Peter Paul Varga Introduction The tumorous pathologies of the lumbosacral junction requiring surgical intervention are very challenging even for the most experienced spine surgeons. Tumors…
Minimally Invasive Surgery for Metastatic Spine Disease
7 Minimally Invasive Surgery for Metastatic Spine Disease Meic H. Schmidt Introduction Minimally invasive treatment (MIT) of spinal tumors is becoming increasingly complex, and multiple specialties are contributing to…
Vertebral Augmentation for Metastatic Disease
8 Vertebral Augmentation for Metastatic Disease Ehud Mendel, Eric C. Bourekas, and Paul Porensky Introduction Percutaneous vertebroplasty (PVP) is an effective and relatively facile intervention that can achieve both…
Surgical Complications and Their Avoidance
9 Surgical Complications and Their Avoidance Michelle J. Clarke Introduction Operative treatment of metastatic spine disease is palliative and targeted to improve health-related quality of life (HRQOL). Surgical treatment…
Region-Specific Approaches
5 Region-Specific Approaches Ioan Adrian Lina, Patricia L. Zadnik, and Daniel M. Sciubba Introduction The spine is the third most common location of secondary metastases, after the lung and…
Evaluation and Decision Making for Metastatic Spinal Tumors
1 Evaluation and Decision Making for Metastatic Spinal Tumors Yan Michael Li, Michael S. Dirks, Claudio E. Tatsui, and Laurence D. Rhines Introduction Every year, more than 1.6 million…
