• Neurosurg. Clin. N. Am. · Oct 2006

    Review

    Minimally invasive approaches to vertebral column and spinal cord tumors.

    • John E O'Toole, Kurt M Eichholz, and Richard G Fessler.
    • Department of Neurosurgery, Rush University Medical Center, 1725 West Harrison Street, Suite 970, Chicago, IL 60612, USA. john_otoole@rush.edu
    • Neurosurg. Clin. N. Am. 2006 Oct 1;17(4):491-506.

    AbstractMinimally invasive approaches to spinal tumors have evolved rapidly over the past 15 to 20 years as clinicians seek to avoid the morbidity and long-term dysfunction associated with traditional open surgical procedures. We review the noninvasive, percutaneous, and minimally invasive surgical techniques currently available for the treatment of spinal column and intradural spinal tumors, including minimal access thoracic corpectomy and minimal access intradural tumor surgery. The various advantages and limitations of these approaches as well as their appropriate indications and uses are also presented here. A measured understanding of surgical objectives and iatrogenic effects on patients' quality of life allows the surgeon to implement such minimally invasive approaches in the design of individualized treatment plans that range from pure palliation to definitive cure.

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