19 Harley St, London, W1G 9QJ, UK

Technique for stereotactic body radiotherapy for spinal metastases

Stereotactic body radiotherapy (SBRT) is an emerging technique for spinal tumours that is a natural succession to brain radiosurgery. The spine is an ideal site for SBRT due to its relative immobility and the potential clinical benefits of high dose delivery, particularly to optimise local control and avoid disease progression that can result in spinal cord compression. However, the proximity of the tumour to the spinal cord, with the potential for radiation myelopathy if the dose is delivered inaccurately or if the spinal cord dose limit is set too high, demands technical accuracy with radiation myelopathy a feared complication. Spine SBRT has been delivered with either a robotic-based linac system such as the Cyberknife, or with linac-based systems equipped with a multileaf collimator and image guidance system. Regardless of the technology, spine SBRT demands sophisticated treatment planning and delivery. This case-based technical review outlines the SBRT apparatus, planning and treatment delivery in use at the University of Toronto, Toronto, Canada

Keywords : adverse effects,Aged,Brain,Carcinoma,Renal Cell,Disease Progression,Humans,instrumentation,Kidney Neoplasms,Male,methods,Ontario,pathology,Radiosurgery,radiotherapy,secondary,Spinal Cord,Spinal Cord Compression,Spinal Neoplasms,Spine,Universities,, Stereotactic,Body,Radiotherapy, physiotherapy exercises for neck and shoulder pain

Date of Publication : 2011 Feb

Authors : Foote M;Letourneau D;Hyde D;Massicotte E;Rampersaud R;Fehlings M;Fisher C;Lewis S;Macchia NL;Yu E;Laperriere NJ;Sahgal A;

Organisation : Department of Radiation Oncology, Princess Margaret Hospital, University of Toronto, 610 University Avenue, Toronto, Ontario M5G 2M9, Canada

Journal of Publication : J Clin Neurosci

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/21147535

The London Spine Unit : Harley Street UK. Specialists in Cutting Edge Technologies for Spinal Surgery

Make an Appointment 

Trustpilot Reviews
Doctify Reviews
Top Doctor Reviews

Technique for stereotactic body radiotherapy for spinal metastases | Back pain physiotherapy exercises

What our patients say ...

Consultant Spine Surgeon
Consultant Spine Surgeon
Consultant Spine Surgeon

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

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810