Stereotactic Radiosurgery for Residents-Spine Radiosurgery: An Overview

Video Transcription

Video Summary

The video is a lecture on spine radiosurgery given by a neurosurgeon. The speaker provides an overview of the history and current applications of spine radiosurgery. He mentions that spine metastases, mainly from malignant tumors, are the primary target for radiosurgery. The impact of these metastases on patients' quality of life, including pain, mobility loss, fractures, and neurological deficits, is highlighted. The speaker discusses the evolution of surgical techniques, from laminectomy to more minimally invasive approaches, and the discovery that radiation alone can be just as effective, if not better, than surgery alone. He emphasizes the importance of decompression and fixation of the spine in surgical techniques. The speaker also mentions the development of frameless image-guided radiosurgery, which has made spine radiosurgery more practical. He discusses the current evidence supporting spine radiosurgery, including the RTOG trial. The video concludes with the speaker discussing the paradigm shift in the treatment of oligometastatic disease and the integration of radiosurgery with various surgical approaches.

Asset Subtitle

Presented by Peter C. Gerszten, MD, MPH, FAANS

Keywords

spine radiosurgery

neurosurgeon

metastases

surgical techniques

radiation

evidence