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Stereotactic Radiotherapy: An Emerging Treatment for Spinal Metastases

Published online by Cambridge University Press:  02 December 2014

Max Dahele ,
Michael G. Fehlings  and
Arjun Sahgal
Max Dahele*
Affiliation:
Department of Radiation Oncology, VU University Medical Centre, Amsterdam, The Netherlands
Michael G. Fehlings
Affiliation:
Division of Neurosurgery and Spinal Program, Toronto Western Hospital
Arjun Sahgal
Affiliation:
Department of Radiation Oncology, Princess Margaret Hospital and Sunnybrook Odette Cancer Centre, University of Toronto, Toronto, Ontario, Canada
*
Department of Radiation Oncology, VU University Medical Centre, De Boelelaan 1117, 1081 HV Amsterdam, The Netherlands
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Abstract

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Aim:

The purpose of this concise update is to describe the emerging treatment of stereotactic body radiotherapy (SBRT) for spinal metastases.

Rationale:

Spinal metastases are common and can present complex clinical challenges that conventional treatment cannot always meet satisfactorily. Examples include a history of prior irradiation at the same site or radio-resistant tumor histology. Stereotactic body radiotherapy makes it possible to deliver high doses of radiation with the aim of improving tumor control and palliation. It is increasingly being offered to selected patients including those requiring re-irradiation and post-operative treatment.

Conclusion:

It is important that specialists managing patients with spinal metastases are aware of the potential advantages of SBRT and how this can complement and extend existing treatment approaches, including spinal decompression and stabilization.

Type
Original Article
Information
Canadian Journal of Neurological Sciences , Volume 38 , Issue 2 , March 2011 , pp. 247 - 250
Copyright
Copyright © The Canadian Journal of Neurological 2011

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