Vertebral Primary Bone Lesions: Review of Management Options
Abstract
:1. Introduction
2. Assessment of Patients with Vertebral Lesions
2.1. Incidence Rates
2.2. Clinical Considerations
2.3. Imaging Considerations
3. Treatment of Patients with Vertebral Lesions
3.1. Primary Benign Tumors
3.2. Non-Surgical Treatment for Primary Malignant Tumors
3.3. Surgical Interventions for Primary Malignant Tumors
3.3.1. Surgical Determination
3.3.2. Direct Surgical Decompression and Stabilization
3.3.3. Minimally Invasive Surgical Alternatives
4. Emerging Interventions
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Primary Vertebral Lesion | Benign or Malignant | Radiographic Findings (MRI) |
---|---|---|
Spinal Meningioma | Benign | Well-circumscribed; Dural tail sign; broad-based Dural attachment |
Osteoid Osteomas | Benign | Intracortical nidus; reactive sclerosis |
Spinal Ependymomas | Malignant | Well-circumscribed; widened spinal cord; cystic change |
Spinal Hemangioma | Benign | Variable enhancement; “salt and pepper” appearance |
Chordomas | Malignant | Irregular calcification; honeycomb appearance |
Ewing Sarcoma | Malignant | Bright with T2; not well-demarcated; non-homogenous enhancement of contrast |
Nerve Sheath Tumors | Benign | Very well-circumscribed and difficult to identify on radiograph; hyperintense T2 |
Osteosarcoma | Malignant | Edema around tumor; cortical destruction; considerable contrast enhancement with T1 |
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Chalamgari, A.; Valle, D.; Palau Villarreal, X.; Foreman, M.; Liu, A.; Patel, A.; Dave, A.; Lucke-Wold, B. Vertebral Primary Bone Lesions: Review of Management Options. Curr. Oncol. 2023, 30, 3064-3078. https://doi.org/10.3390/curroncol30030232
Chalamgari A, Valle D, Palau Villarreal X, Foreman M, Liu A, Patel A, Dave A, Lucke-Wold B. Vertebral Primary Bone Lesions: Review of Management Options. Current Oncology. 2023; 30(3):3064-3078. https://doi.org/10.3390/curroncol30030232
Chicago/Turabian StyleChalamgari, Anjalika, Daisy Valle, Xuban Palau Villarreal, Marco Foreman, Annika Liu, Aashay Patel, Akanksha Dave, and Brandon Lucke-Wold. 2023. "Vertebral Primary Bone Lesions: Review of Management Options" Current Oncology 30, no. 3: 3064-3078. https://doi.org/10.3390/curroncol30030232