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Emerging techniques in the minimally invasive treatment and management of thoracic spine tumors

Over the past decade, the development and refinement of minimally invasive spine surgery techniques has lead to procedures with the potential to minimize iatrogenic and post-operative sequelae that may occur during the surgical treatment of various pathologies. In a similar manner, parallel advances in other current treatment technologies have led to the development of other minimally invasive treatments of spinal malignancies. These advances include percutaneous techniques for vertebral reconstruction, including vertebroplasty and kyphoplasty, the development of safe and effective spinal radiosurgery, and minimal-access spinal surgical procedures that allow surgeons to safely decompress and reconstruct the anterior spinal column. The advent of these new techniques has given modern practitioners treatment options in situations where they previously were limited by the potentially significant morbidities of the available techniques. Here, the authors discuss the application of current minimally invasive technologies in the treatment of malignancies of the thoracic spine, focusing on vertebral kyphoplasty, spinal radiosurgery, and minimally invasive spinal decompression techniques. The author’s describe how these emerging treatment options are significantly expanding the options open to clinicians in the treatment of thoracic spinal column malignancies. Specific illustrative case examples are provided. The development of these techniques has the potential to improve clinical outcomes, limit surgical morbidity, and also improve the safety and efficiency of treatment pathways

Keywords : California,Decompression,Humans,Kyphoplasty,Los Angeles,methods,Minimally Invasive Surgical Procedures,Morbidity,Neurosurgical Procedures,Orthopedic Procedures,pathology,Radiosurgery,Safety,Spinal Neoplasms,Spine,surgery,Thoracic Vertebrae,Universities,Vertebroplasty,, Techniques,Minimally,Invasive, radio frequency surgery

Date of Publication : 2012 May

Authors : Smith ZA;Yang I;Gorgulho A;Raphael D;De Salles AA;Khoo LT;

Organisation : The Spine Clinic of Los Angeles, Affiliate of the University of Southern California, The Hospital of the Good Samaritan, 1245 Wilshire Ave, #717, Los Angeles, CA 90017, USA

Journal of Publication : J Neurooncol

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/22094716

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This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

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