Update on Tumors for the General Neurosurgeon II: Skull Base, Pediatric and Spine Tumors-Reconstruction Techniques after Spinal Tumor Resection

Video Transcription

Video Summary

In this video, the speaker discusses reconstruction techniques after the resection of spinal tumors, primarily metastatic tumors. The speaker emphasizes the role of surgery in treating patients with metastatic spinal tumors, particularly those with epidural spinal cord compression. Surgical decompression followed by radiation therapy has been shown to be beneficial in terms of ambulatory status, bowel-bladder status, and survival. The speaker also discusses the factors that need to be taken into consideration when deciding how to reconstruct the spinal column after tumor resection, such as preexisting spinal deformity, the nature of the tumor, the region of the spine involved, and the patient's expected lifespan and treatment plan. The speaker presents several case examples to illustrate different reconstruction techniques, including the use of methametacrylate or cages, depending on the location of the tumor and the need for stability. The speaker also discusses the reconstruction of the cervical spine and the challenges and considerations specific to this area. Overall, the speaker highlights the importance of individualizing reconstruction techniques based on the specific patient and tumor characteristics. No credits were mentioned in the video.

Asset Subtitle

Ziya L. Gokaslan, MD, FAANS, FACS

Keywords

reconstruction techniques

spinal tumors

metastatic tumors

surgery

epidural spinal cord compression

surgical decompression

radiation therapy