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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

  1. 01

    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)
    • Join our WhatsApp groups

    111 slides