Spinal radiosurgery: Technology and clinical outcomes

M. Avanzo, P. Romanelli

Research output: Contribution to journalArticle

Abstract

The development of computer-based image guidance has allowed stereotactic radiosurgery and radiotherapy to be freed from the constraints imposed by the stereotactic frames once required for intracranial radiosurgery. This freedom has led to the application of radiosurgery to targets outside the brain. In this paper, we briefly review the technologies, treatment parameters, and clinical outcomes of radiosurgical treatment for spinal pathology, including metastatic tumors and rare but challenging lesions such as arteriovenous malformations and benign tumors. A special emphasis is put on the newest development, fiducial-less robotic radiosurgery. Spinal radiosurgery is associated with excellent rates of tumor control and pain relief with a good dose sparing of the highly sensitive spinal cord. Further research is required to optimize treatment strategies and to assess clinical benefits and toxicity in the long term.

Original languageEnglish
Pages (from-to)1-12
Number of pages12
JournalNeurosurgical Review
Volume32
Issue number1
DOIs
Publication statusPublished - Jan 2009

Fingerprint

Radiosurgery
Technology
Neoplasms
Arteriovenous Malformations
Robotics
Spinal Cord
Radiotherapy
Pathology
Pain
Brain
Therapeutics
Research

Keywords

  • Image guidance
  • Radiosurgery
  • Robotic
  • Spinal cord
  • Spine

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Spinal radiosurgery : Technology and clinical outcomes. / Avanzo, M.; Romanelli, P.

In: Neurosurgical Review, Vol. 32, No. 1, 01.2009, p. 1-12.

Research output: Contribution to journalArticle

Avanzo, M. ; Romanelli, P. / Spinal radiosurgery : Technology and clinical outcomes. In: Neurosurgical Review. 2009 ; Vol. 32, No. 1. pp. 1-12.
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