This book offers a multidisciplinary approach to spine tumor management. Because of the unique mechanical and neurologic functions of the spine, spine tumors require special expertise. This expertise is spread out over many medical and surgical specialties and bringing this expertise together into a multidisciplinary team is a paradigm shift that has evolved over the 21st century. While many now acknowledge the advantages of a multidisciplinary approach, few have been able to marshal together a cohesive and effective team in practice. At MSKCC, a truly multidisciplinary team has been working together for over 2 decades. The objective of this work is intended to bring together that expertise into a single volume.

The book is structured to emphasize the multidisciplinary considerations that are important for a successful program. Chapters cover diagnosis, the role of surgery, radiotherapy, management of toxicity, and rehabilitation. Actual case examples are used throughout to support the text. Each aspect of multidisciplinary care is discussed in evidence based chapters that explain the role of specific specialties and how their expertise fits into a cohesive whole. It is designed for maximal practicality and applicability.

This is an ideal guide for practicing physicians and trainees in neurosurgery, orthopedic surgery, radiation oncology, medical physics, physiatry, medical oncology, neurology, pain medicine, as well as advanced practice providers, nurses, and students.

Autorentext

Dr Yoshiya Yamada is co lead of the Spine Oncology Service at MSKCC. He is an attending radiation oncologist in the Department of Radiation Oncology at MSKCC. He leads the program in the Department of Radiation Oncology. He has lectured both nationally and internationally on various aspects of spine oncology and has published over 200 peer reviewed articles, many on the topic of spine tumors.

Dr Mark Bilsky is vice chair for clinical affairs in the Department of Neurosurgery at Memorial Sloan Kettering Cancer Center (MSKCC). He holds the William E. Snee endowed chair. He is Professor of Neurosurgery at Weill Cornell and Attending Surgeon at MSKCC. Dr. Bilsky is the lead of the multidisciplinary spine oncology service at MSKCC. He has pioneered the concept of multidisciplinary care for patients with spinal tumors, and a world leader in this regard. He has over 200 peer reviewed publications, primarily focusing on the management of primary and metastatic spine disease.

Dr. Eric Lis is director of the Department of Interverntional Neuroradiology at Memorial Sloan Kettering Cancer Center (MSKCC).

Inhalt

Introduction.- The NOMS Paradigm.- Modern Spine Diagnostic Radiology.- The Role of Kyphoplasty.- The Role of the Surgery in the Modern Management of Primary Spine Tumors.- Separation Spine Surgery for Metastatic Disease.- Minimally Invasive Surgery for Metastatic Spine Disease.- The Multidisciplinary Management of Sacral Tumors.- Modern Radiotherapy for the Treatment of Primary Tumors of the Spine.- Stereotactic Radiotherapy for Spine Metastasis.- Treatment Planning of Spine Radiosurgery.- Management of Toxicity of Spine Radiation.- The Impact of Systemic Therapy on Stereotactic Spine Radiotherapy.- Integrating Genomic Data Into the Management of Spinal Tumors.- Optimal Management of Spine Tumor Pain.- Rehabilitation of the Spine Tumor Patient.- How a Multidisciplinary Spine Oncology Service Functions.