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Orthopaedics
Metastatic Spinal Tumours (AO Based)
Built from AO Surgery Reference: Spine Trauma, Degenerative, Tumors and Deformities (AO Foundation)
What’s inside
1 sections · 111 slides
Overview
- Introduction
- Scope of the AO metastatic tumor module
- Regions and tumor types in the AO module
- General treatment principles
- Tumor histology and radiotherapy
- Classification of tumor radiosensitivity
- Conditions as drawn by AO
- Conditions as drawn by AO (cont.)
- Conditions as drawn by AO (cont.)
- Conventional radiotherapy versus SBRT
- Conventional radiotherapy versus SBRT
- SBRT and the risk of fracture progression
- Radiotherapy for stable, low ESCC tumors
- Clinical and imaging evaluation
- Clinical presentation
- Clinical presentation
- Imaging in metastatic spine disease
- Imaging in metastatic spine disease
- Classification and scoring systems
- SINS score categories
- SINS score categories
- SINS imaging findings shown by AO
- SINS imaging findings shown by AO
- ESCC grades on MRI
- ESCC grades on MRI
- ESCC and surgical candidacy
- The four AO tumor types
- The four AO tumor types
- AO treatment logic by tumor type
- AO treatment logic by tumor type
- Nonoperative and perioperative care
- Nonoperative treatment
- Timing of decompression and dexamethasone
- Anesthesia and cord protection
- Anesthesia and cord protection
- Patient positions for metastatic surgery
- Patient positions for metastatic surgery
- Occipitocervical tumors (C0-C2)
- Treatment options: C0-C2 tumors
- Treatment options: C0-C2 tumors
- Occipitocervical fusion: steps
- Occipitocervical fusion: steps
- Occipital plate and screw placement
- Occipital plate and screw placement
- Cervical fixation in occipitocervical fusion
- Cervical fixation in occipitocervical fusion
- Posterior occipitocervical exposure pitfalls
- Posterior occipitocervical exposure pitfalls
- Subaxial cervical tumors (C3-C7)
- Options: subaxial cervical, high ESCC
- Options: subaxial cervical, high ESCC (cont.)
- Options: subaxial cervical, unstable, low
- Options: subaxial cervical, unstable, low (cont.)
- Decision logic: subaxial cervical tumors
- Decision logic: subaxial cervical tumors
- Anterior access to C3-C7
- Anterior access to C3-C7
- Anterior cervical decompression: steps
- Anterior cervical decompression: steps
- Anterior cervical pearls and pitfalls
- Anterior cervical pearls and pitfalls
- Posterior decompression and fixation C3-C7
- Posterior decompression and fixation C3-C7
- The cervicothoracic junction
- The cervicothoracic junction
- Thoracolumbar tumors (T1-L5)
- Options: thoracolumbar, high ESCC
- Options: thoracolumbar, high ESCC (cont.)
- Options: thoracolumbar, unstable low ESCC
- Options: thoracolumbar, unstable low ESCC (cont.)
- Decision logic: thoracolumbar tumors
- Decision logic: thoracolumbar tumors
- Construct length and implant failure
- Construct length and implant failure
- Separation surgery: principles
- Separation surgery: principles
- Separation surgery: steps
- Separation surgery: steps
- Posterior minimally invasive surgery
- Posterior minimally invasive surgery
- Percutaneous pedicle screw insertion
- Percutaneous pedicle screw insertion
- Posterior decompression with corpectomy
- Posterior decompression with corpectomy
- Anterior approaches to T3-L4
- Anterior approaches to T3-L4
- Anterior corpectomy: indications
- Anterior corpectomy: indications
- Anterior thoracolumbar corpectomy: steps
- Anterior thoracolumbar corpectomy: steps
- PMMA reconstruction of the vertebral body
- PMMA reconstruction of the vertebral body
- Kyphoplasty: steps
- Kyphoplasty: steps
- Complications and aftercare
- Preventing wound complications
- Preventing wound complications
- Approach-related complications
- Approach-related complications
- Aftercare and follow-up timeline
- Aftercare and follow-up timeline
- Fusion or non-fusion surgery
- Fusion or non-fusion surgery
- Take-home messages
- References (1 of 6)
- References (2 of 6)
- References (3 of 6)
- References (4 of 6)
- References (5 of 6)
- References (6 of 6)
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