2018 AANS Annual Scientific Meeting-Multidisciplinary Management of Primary Spinal Tumors

Video Transcription

Video Summary

In this video, the speaker discusses the on-block resection of primary bone tumors in the spine. They emphasize that primary bone tumors in the spine are rare and are managed differently from metastatic disease. It is important for surgeons to have an index of suspicion for primary bone tumors and to recognize their types, as this will affect treatment approaches and outcomes. Different types of primary bone tumors respond differently to chemotherapy and radiation. The speaker recommends preoperative embolization for hypervascular tumors. En bloc resection is necessary for aggressive, benign, and primary malignant bone tumors in order to reduce local recurrence and improve survival. The speaker provides evidence from various studies supporting the effectiveness of en bloc resection. They also explain the importance of careful planning, multidisciplinary surgical expertise, and the use of the latest technology in performing these surgeries. The speaker presents case examples and highlights the challenges and limitations of en bloc resection. They discuss future areas of investigation, including less invasive procedures, optimizing radiation therapy, and understanding the molecular mechanisms of primary bone tumors.

Asset Caption

Laurence D. Rhines, MD, FAANS

Keywords

primary bone tumors

spine

en bloc resection

chemotherapy

radiation

multidisciplinary surgical expertise