2018 AANS Annual Scientific Meeting-Spine Tumor Surgery in the Elderly

Video Transcription

Video Summary

In this video, Dr. Dean Chow discusses spine tumor surgery in the elderly. He presents a case of a patient with weakness in the legs and showcases MRI and CT scans showing cord compression and erosion of the vertebral body. Dr. Chow discusses different treatment options, including surgery, steroids, and biopsy. He emphasizes the importance of getting a biopsy if possible before making treatment decisions. He also discusses the different treatment options based on tumor type and radio-sensitivity. Dr. Chow mentions the NOMS framework, which considers neurologic, oncologic, mechanical instability, and systemic disease factors. He discusses the use of stereotactic radiosurgery, ablation procedures, minimally invasive corpectomy, and the importance of individualizing treatment for each patient based on their physiologic age, quality of life, and life expectancy.

Asset Caption

Dean Chou, MD, FAANS

Keywords

spine tumor surgery

elderly

legs weakness

cord compression

vertebral body erosion