Beschreibung:
This book provides an up-to-date overview on the epidemiology, clinical presentation, and imaging characteristics of sacral tumors, discusses the available treatment options, and reports the published outcomes. The diagnostic roles of conventional radiology, CT, and MRI are thoroughly described and imaging appearances are compared with the histologic features. The coverage of therapeutic approaches includes chemotherapy, radiotherapy, radiosurgery, and surgery (partial or total sacrectomy and spinopelvic reconstruction). Special attention is paid to the specific anatomic constraints that make tumors in this region of the spine more difficult to manage effectively than those in the extremities and the mobile portions of the spine.
PART 1: GENERAL ASPECTS: Surgical Anatomy of the Sacrum.- Clinical and Neurologic Manifestations of Sacral Lesions.- Epidemiology.- Diagnostic Imaging.- Staging and Biopsy.- Histopathology.- PART 2: BENIGN LESIONS: Giant Cell Tumor.- Osteoblastoma.- Osteoid osteoma.- Aneurysmal bone cyst.- Scwannoma.- Exostosis.- Hemangioma.- Other benign rare entities.- PART 3: MALIGNANT LESIONS: Metastasis.- Chordoma.- Osteosarcoma.- Ewing's Sarcoma.- Myeloma.- Lymphoma.- Condrosarcoma.- Other malignant rare entities.- PART 4: TREATMENTS: Surgical Approaches to the Sacrum.- Partial and total sacrectomy.- Sacral Biomechanics and Reconstruction.- Soft tissue reconstruction after sacral surgery.- Embolization of Sacral Lesions.- Radiation Therapy of Sacral Neoplasms.