Anterior spinal separation surgery to allow for stereotactic body radiotherapy: a novel approach permitting radical oncological treatment of oligometastatic disease

Priyanshu Saha; Bisola Ajayi; Pawan Minhas; Darren F Lui

doi:10.1093/jscr/rjad244

Anterior spinal separation surgery to allow for stereotactic body radiotherapy: a novel approach permitting radical oncological treatment of oligometastatic disease

J Surg Case Rep. 2023 May 13;2023(5):rjad244. doi: 10.1093/jscr/rjad244. eCollection 2023 May.

Authors

Priyanshu Saha¹, Bisola Ajayi², Pawan Minhas², Darren F Lui²

Affiliations

¹ Department of Medicine, St. George's University of London, London, UK.
² Department of Complex Neurosurgery, Atkinson Morley Wing, St. George's NHS Foundation Trust, London, UK.

Abstract

The treatment of spinal cancers has rapidly evolved in the past decade. Often the treatment for spinal metastases required highly morbid surgeries and with palliative outcomes. However, a paradigm shift in surgical oncology has allowed spinal metastases treatment to have curative results. In the state of oligometastatic disease (OMD), the accompaniment of Stereotactic Body Radiotherapy (SBRT) as a primary modality or adjuvant treatment to surgery has been shown to excellent survival outcomes, lower morbidities and better pain management. This case report illustrates a novel approach to the treatment of spinal OMD utilizing anterior spinal separation surgery with a custom carbon fibre vertebral body replacement cage followed by postoperative SBRT with excellent radio-oncological outcomes over 30-month follow-up.

Publication types

Case Reports