Introduction This chapter discusses the use of stereotactic radiosurgery (SRS) in the treatment of secretory and nonfunctional pituitary adenomas (NFPAs). SRS refers to several modalities that deliver precisely targeted, high-energy photons or protons to target tissue. This energy is delivered…
Introduction of Technology Spine oncology is a broad field encompassing a wide array of pathologies. The vast majority are spinal metastases arising from the vertebral body, most commonly in the thoracic (70%) or lumbar spine (30%), secondary to breast, prostate,…
Introduction There are many factors to consider in determining if a staged anterior-posterior (AP) lumbar procedure is the most appropriate for a given patient. These include the patient’s presenting symptoms (i.e., discogenic back pain, radiculopathy, myelopathy), bone quality, age, performance…
Summary of Key Points Diseases of the sacrum and lumbosacral junction lead to clinically complex problems for surgical treatment and biomechanical stabilization. The lumbosacral pivot point, the axis of rotation at the lumbosacral junction, is marked by the intersection of…
Summary of Key Points Posterior approaches are the cornerstone of thoracic spine surgery and are associated with decreased morbidity relative to anterior approaches. The four primary approaches are: midline, transpedicular, costotransversectomy, and lateral extracavitary. The optimal surgical approach depends upon…
Summary of Key Points Metastatic spine disease is the most prevalent form of spinal neoplasm, with an increasing incidence secondary to aging population demographics and increased survival in oncology patients. Appropriate management of metastatic spine disease requires a multidisciplinary team;…