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Radiosurgery for Benign Spinal Tumors

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CyberKnife NeuroRadiosurgery

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Abstract

Stereotactic radiosurgery is a standard of care for the definitive treatment of benign intracranial tumors such as meningiomas, schwannomas, neurofibromas, and hemangioblastomas. Stereotactic radiosurgery for benign spinal tumors was not practical with frame-based radiosurgery devices. With the advent of frameless radiosurgical treatment pioneered by the CyberKnife, intracranial radiosurgical principles are now applied in the spine. Treatment outcomes from early reports in the 2000s of radiosurgery for benign spinal tumors suggested short-term efficacy for controlling tumor growth. Recently, published series demonstrate long-term durable tumor control with limited toxicity similar to what is seen for radiosurgery to benign intracranial tumors. Treatment outcomes and planning guidelines are presented that support single fraction or hypofractionated stereotactic radiosurgery as a standard of care for benign spinal tumors.

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Author information

Authors and Affiliations

  1. Department of Radiation Oncology, Stanford University, Stanford Cancer Institute, Stanford, CA, USA

    Scott G. Soltys, Alex Chin & Erqi Pollom

  2. Department of Neurosurgery, Stanford University, Stanford Cancer Institute, Stanford, CA, USA

    Antonio Meola

Authors
  1. Scott G. Soltys
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  2. Antonio Meola
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  3. Alex Chin
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  4. Erqi Pollom
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Corresponding author

Correspondence to Scott G. Soltys .

Editor information

Editors and Affiliations

  1. Associate Professor of Neurosurgery, Alma Mater Studiorum University of Bologna, Bologna, Italy

    Alfredo Conti

  2. Scientific Director, AB Medica, Milano, Italy

    Pantaleo Romanelli

  3. Assistant Professor, Medical Physics Laboratory, Medical School, National and Kapodistrian University of Athens, Athens, Greece

    Evangelos Pantelis

  4. Associate Professor, Department of Radiation Oncology, Stanford University Cancer Center, Stanford, CA, USA

    Scott G. Soltys

  5. Associate Professor, Department of Neurosurgery and Radiosurgery Center, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea (Republic of)

    Young Hyun Cho

  6. Department of Neurosurgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA

    Michael Lim

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Soltys, S.G., Meola, A., Chin, A., Pollom, E. (2020). Radiosurgery for Benign Spinal Tumors. In: Conti, A., Romanelli, P., Pantelis, E., Soltys, S., Cho, Y., Lim, M. (eds) CyberKnife NeuroRadiosurgery . Springer, Cham. https://doi.org/10.1007/978-3-030-50668-1_40

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