{"title":"Contributors to authors","authors":"","doi":"10.1053/S1040-7383(24)00070-4","DOIUrl":"10.1053/S1040-7383(24)00070-4","url":null,"abstract":"","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"36 4","pages":"Article 101147"},"PeriodicalIF":0.0,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142706046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Operative and non-operative options for benign primary spine tumors","authors":"Ikechukwu C. Amakiri , Daniel G. Tobert","doi":"10.1016/j.semss.2024.101139","DOIUrl":"10.1016/j.semss.2024.101139","url":null,"abstract":"<div><div>Benign primary spinal tumors (BPST) are rare entities with significant diagnostic and therapeutic challenges. These tumors can originate from the various mesenchymal tissues that compose the spinal column. They are typically classified using the Enneking or Weinstein-Boriani-Biagini (WBB) classifications, which guide surgical planning and intervention. The most frequent benign spinal tumors include osteoblastoma, osteoid osteoma, osteochondroma, giant cell tumors, aneurysmal bone cysts, hemangiomas, and Langerhans cell histiocytosis. Treatment options vary from nonoperative therapies such as analgesics, radiotherapy, and tumor ablation, to surgical interventions ranging from intralesional curettage to <em>en bloc</em> resection. The choice of treatment depends on factors such as tumor type, location, and potential for recurrence. A multidisciplinary approach, involving orthopedic surgeons, oncologists, and radiologists, is crucial for optimizing patient care. This review aims to provide concise information for the operative and nonoperative treatments of the most common extramedullary primary benign spinal tumors.</div></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"36 4","pages":"Article 101139"},"PeriodicalIF":0.0,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142706076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Wound complications following spine tumor surgery: Risk factors and prevention","authors":"Chukwuka Obiofuma, Addisu Mesfin","doi":"10.1016/j.semss.2024.101138","DOIUrl":"10.1016/j.semss.2024.101138","url":null,"abstract":"<div><div>Surgical site infections (SSI) and wound complications are common following primary and metastatic spine tumor surgery. Some risks factors include pre-operative radiation therapy, malnutrition, revision surgeries, length of surgery and co-morbidities. Some strategies to decrease wound complications include plastic surgery closure and use of betadine irrigation and vancomycin intrawound power. However, larger series prospective randomized studies are needed in order advance the field of spine oncology and to continue to decrease wound complications.</div></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"36 4","pages":"Article 101138"},"PeriodicalIF":0.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142706075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Update on the management of extradural primary pediatric spinal tumors","authors":"Chukwuemeka Mbagwu, Lancelot Benn, Addisu Mesfin","doi":"10.1016/j.semss.2024.101140","DOIUrl":"10.1016/j.semss.2024.101140","url":null,"abstract":"<div><div>Osseous/extradural pediatric spine tumors are uncommon and divided into benign and malignant. The Enneking classification is used to divide the benign tumors into latent, benign aggressive and aggressive. The malignant spine tumors include osteosarcoma, Ewing's sarcoma and lymphoma. A tissue biopsy is crucial for diagnosis and is essential to manage these tumors in a multi-disciplinary manner.</div></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"36 4","pages":"Article 101140"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142706077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Interventional radiology procedures for metastatic spine tumors","authors":"Lauren Park , Nora Tabori , John Smirniotopoulos","doi":"10.1016/j.semss.2024.101135","DOIUrl":"10.1016/j.semss.2024.101135","url":null,"abstract":"<div><h3>Objective</h3><div>Interventional radiology procedures can offer locoregional tumor control and palliative options for patients with metastatic disease to spine to relieve pain, to delay neurologic deficits, and to improve quality of life and daily function.</div></div><div><h3>Findings</h3><div>Multiple thermal energies for percutaneous ablation of metastases to the spine exist and are chosen according to tumor characteristics, volume, and location. Vertebral augmentation is most often combined with ablation for structural stability. Intravascular embolization of metastases provides tumor palliative or presurgical devascularization.</div></div><div><h3>Conclusion</h3><div>Ablation, vertebral augmentation, and intravascular embolization are efficacious minimally invasive options for the management of spinal tumors.</div></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"36 4","pages":"Article 101135"},"PeriodicalIF":0.0,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142706072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Akrita Bhatnagar , Timothy Kearney , Susan M. Woody, Keith R. Unger, Matthew E. Witek
{"title":"Advanced radiation therapy options for primary and metastatic spine tumors","authors":"Akrita Bhatnagar , Timothy Kearney , Susan M. Woody, Keith R. Unger, Matthew E. Witek","doi":"10.1016/j.semss.2024.101136","DOIUrl":"10.1016/j.semss.2024.101136","url":null,"abstract":"<div><div>Primary spinal cord and metastatic spine tumors represent a heterogenous group of malignancies whose management is complex given the variety of tumor histologies, tumor-related morbidity, and potential complications of treatment. The critical role of radiation therapy in the management of primary spinal cord and metastatic spine tumors has been influenced by advances in neurosurgical techniques, neuroimaging, integrative diagnoses, and most impactfully through advances in radiotherapy technology specifically stereotactic radiotherapy and proton therapy. This article reviews contemporary literature supporting the use of advanced radiotherapy in the management of primary spinal cord and metastatic spine tumors.</div></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"36 4","pages":"Article 101136"},"PeriodicalIF":0.0,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142706073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Management of intradural extramedullary and intramedullary spinal tumors","authors":"Amanda Roehrkasse, Jeffrey Breton, Jean-Marc Voyadzis","doi":"10.1016/j.semss.2024.101141","DOIUrl":"10.1016/j.semss.2024.101141","url":null,"abstract":"<div><div>Intradural spine tumors are relatively uncommon and include tumors outside (extramedullary) or within the spinal cord (intramedullary). The proximity of these tumors to important neural structures can cause significant neurologic morbidity and prompt management is critical for maintaining function. Surgical intervention is generally the primary treatment depending on presenting symptoms, radiologic features, and the likelihood of a clear surgical planes vis-à-vis the spinal cord. Adjuvant radiation, chemotherapy, or other novel therapeutic strategies may play a role in postoperative management. Here we review management strategies for common intradural extramedullary (meningiomas, schwannomas, and neurofibromas) and intradural intramedullary tumors (astrocytomas, ependymomas, and hemangioblastomas).</div></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"36 4","pages":"Article 101141"},"PeriodicalIF":0.0,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142706078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Atousa Nourmahnad , Matiar Jafari , Thomas E Olson , Andrew C. Vivas , Elizabeth L. Lord
{"title":"Minimally invasive management of metastatic spine tumors","authors":"Atousa Nourmahnad , Matiar Jafari , Thomas E Olson , Andrew C. Vivas , Elizabeth L. Lord","doi":"10.1016/j.semss.2024.101134","DOIUrl":"10.1016/j.semss.2024.101134","url":null,"abstract":"<div><div>Minimally invasive spine surgery is primed for innovation and development. As imaging and navigations modalities continue to develop, their impact on clinical outcomes and patient quality of life is expected to be substantial, marking a significant step forward in neurosurgical practice. By combining these advanced technologies with minimally invasive surgical approaches and adjuvant therapies, we are bound to significantly improve patient outcomes, minimize neurological deficits, and enhance the overall quality of life for patients with spinal tumors.</div></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"36 4","pages":"Article 101134"},"PeriodicalIF":0.0,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142706071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Douglass C. Johnson , S. Mohammed Karim , Addisu Mesfin
{"title":"Overview and management of sacral tumors","authors":"Douglass C. Johnson , S. Mohammed Karim , Addisu Mesfin","doi":"10.1016/j.semss.2024.101142","DOIUrl":"10.1016/j.semss.2024.101142","url":null,"abstract":"<div><div>Sacral tumors can range from benign to malignant. The sacrum is a common site of metastases however surgical intervention is not common for sacral metastases unless there is neurological compromise. Benign aggressive tumors such giant cell tumors, osteoblastomas and aneurysmal bone cysts (ABC) can be found in the sacrum. Malignant primary tumors including chordoma, chondrosarcomas and osteosarcomas can affect the sacrum. Management depends on the tumor histology including debulking and stabilization for metastatic spine lesions. For benign tumors such as ABCs, intralesional resection is an option. For primary spine tumors partial or total sacrectomies are an option and morbidity is dependent on the level of sacral resection.</div></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"36 4","pages":"Article 101142"},"PeriodicalIF":0.0,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142706079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Total en bloc spondylectomy for primary tumors of the thoracic and lumbar spine: A review article","authors":"Takaki Shimizu , Satoshi Kato , Noriaki Yokogawa , Takaaki Uto , Yuji Ishino , Kazuhiro Nanpo , Megumu Kawai , Hideki Murakami , Satoru Demura","doi":"10.1016/j.semss.2024.101137","DOIUrl":"10.1016/j.semss.2024.101137","url":null,"abstract":"<div><div>Primary spine tumors present significant clinical challenges due to their potential for local invasiveness and metastasis. Total en bloc spondylectomy (TES) has emerged as a feasible surgical technique for the complete resection of thoracic and lumbar spinal tumors, providing superior local control and long-term survival benefits. This review synthesized the current evidence and clinical experiences and demonstrated that TES achieved lower recurrence rates and higher disease-free survival than those of piecemeal resection. Despite the high perioperative complication rates, TES is essential for treating primary spine tumors. The importance of skilled surgical teams to optimize patient outcomes has been emphasized.</div></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"36 4","pages":"Article 101137"},"PeriodicalIF":0.0,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142706074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}