Written by leading experts from the fields of neurosurgery, radiation oncology, and medical physics, this book is the definitive reference for clinical applications of state-of-the-art radiosurgery of the spine. It discusses the benefits as well as the limitations of current spine radiosurgery treatments for benign and malignant spine disorders, primary and metastatic tumors, and spinal cord arteriovenous malformations. The opening chapters present the essential background information on relevant spinal cord radiobiology, physics, and technology, followed by chapters on specific applications of spine radiosurgery covering indications, techniques, outcomes, and possible complications. Highlights: * Practical guidelines on radiosurgery target delineation, dose selection and escalation, patient immobilization, and quality assurance * Comprehensive discussion of the design of various radiosurgical devices and the technical approaches recommended for the use of each * More than 100 illustrations, most in full-color, to demonstrate key concepts This is a must-have resource for clinicians, medical physicists, fellows, and residents in neurosurgery and radiation oncology.
Spine surgeons, orthopaedists, and oncologists at all levels of expertise will also benefit from the wealth of information provided in this book.
Preface Introduction I Introduction II Radiobiology of Radiosurgery Spinal Cord Radiobiology Clinical Spinal Cord Tolerance to Radiosurgery Patient Immobilization and Movement Imaging and Target Localization Treatment Delivery Quality Assurance in Spinal Radiosurgery Target Delineation and Dose Prescription Radiosurgery of Spinal Metastases Clinical Outcomes of Pain and Quality of Life After Spinal Radiosurgery Treatment of Spinal Canal Compromise Treatment Failure and Complications Radiosurgery for Benign Extramedullary Tumors of the Spine Treatment of Primary Spine Tumors Spinal Cord Arteriovenous Malformation Radiosurgery Biomechanical Assessment of Spinal Instability and Stabilization Functional Spinal Radiosurgery Multidisciplinary Combined Modality Approach