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Tumors which arise or spread to the spine present some of the most difficult
challenges for patients and physicians. Fortunately, spinal tumors are rare,
and make up only a small fraction of patients needing treatment for back problems.
Many spinal tumors are benign, and can be cured, often without leaving any disability.
Optimal diagnosis and treatment requires a skilled team. The Orthopaedic Surgeon,
radiologist and pathologist must collaborate to insure that as much as possible
is known about the type of tumor and its location before planning treatment.
Even malignant tumors can be effectively treated. Malignant tumors that arise
in the spine can frequently be cured. Over 90% of spinal tumors are metastatic,
having spread to the spine from another part of the body. In this case, the
Orthopaedic Surgeon must work closely with the patient's medical oncologist.
Radiation Therapy can often eliminate the need for surgery.
Even when surgery is necessary, radiation therapy can often provide additional
relief of pain and reduce the chance that the tumor will come back. Expert care
of spinal cancer allows for more independence, freedom from pain, and a more
productive life.
Surgical treatment may range from a simple biopsy with a needle to complete
tumor removal and reconstruction. Under certain circumstances minimally invasive
or "endoscopic" techniques (Thoracoscopy, Laparoscopy, Vertebroplasty) may be
used to reduce the magnitude of the surgery and to speed recovery.
Current reconstruction techniques require specialized training and innovative
instruments and approaches. However overwhelming the situation may seem, a comprehensive
approach to spinal disease offers every patient a better quality of life and
the best opportunity for cure.
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