Díaz Silvera C M, Azinovic I, Bolle S L E, Pérez Cobos M, Matute R
Oncología Radioterápica, Fundación Jiménez Díaz, Madrid, Spain.
Oncología Radioterápica, Fundación Jiménez Díaz, Madrid, Spain.
Rev Esp Cir Ortop Traumatol. 2023 Nov-Dec;67(6):S542-S551. doi: 10.1016/j.recot.2023.08.009. Epub 2023 Aug 3.
Spine metastases are a common cause of pain in the oncologic patient which can generate functional limitation, in addition to complications derived from spinal cord compression, radicular compression and fractures. A complex approach to these metastases is required due to the risk of permanent sequelae. With the increase in survival rates due to new emerging treatments, the possibilities of presenting vertebral metastases are increasing, therefore, the management of these lesions should be aimed at pain relief and maintenance of ambulation. Radiotherapy has a fundamental role in the management of these lesions, and technological advances in recent years have made it possible to improve the quality and intentionality of the treatments, going from having a palliative intent to proposing treatments that improve local control. In this article, we describe how the stereotactic body radiotherapy (SBRT) technique, in selected patients, can improve local control and its value in oligometastatic patients and after surgery.
脊柱转移瘤是肿瘤患者疼痛的常见原因，除了脊髓压迫、神经根压迫和骨折引起的并发症外，还会导致功能受限。由于存在永久性后遗症的风险，需要对这些转移瘤采取综合治疗方法。随着新兴治疗方法提高了生存率，发生椎体转移的可能性也在增加，因此，这些病变的管理应旨在缓解疼痛和维持行走能力。放射治疗在这些病变的管理中起着重要作用，近年来的技术进步使得提高治疗的质量和精准度成为可能，从姑息性治疗转向提出可改善局部控制的治疗方法。在本文中，我们描述了立体定向体部放疗（SBRT）技术如何在选定的患者中改善局部控制，以及其在寡转移患者和术后患者中的价值。
