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Die Wirbelsäule 2020; 04(02): 113-119
DOI: 10.1055/a-0968-8820
Übersicht
© Georg Thieme Verlag KG Stuttgart · New York

Strahlentherapie spinaler Tumoren

Radiotherapy of spinal malignancies
Christoph Straube
1   Department of Radiation Oncology, Klinikum rechts der Isar, Technical University of Munich, School of Medicine, Munich, Germany
2   Deutsches Konsortium für translationale Krebsforschung (dktk), Partner Site Munich, Munich, Germany
,
Stephanie E. Combs
1   Department of Radiation Oncology, Klinikum rechts der Isar, Technical University of Munich, School of Medicine, Munich, Germany
2   Deutsches Konsortium für translationale Krebsforschung (dktk), Partner Site Munich, Munich, Germany
3   Institut für Strahlenmedizin (IRM), Department of Radiation Sciences (DRS), Helmholtz Zentrum München (HMGU), Neuherberg, Germany
› Author Affiliations
Further Information

Publication History

Publication Date:
17 April 2020 (online)

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Zusammenfassung

Die Behandlung maligner Erkrankungen der Wirbelsäule ist grundsätzlich multidiziplinär angelegt. In vielen Fällen wird daher nach einer Operation, in Einzelfällen auch neoadjuvant oder als Alternative zur Operation, eine Strahlentherapie diskutiert. Die vorliegende Arbeit soll die Möglichkeiten, die Wirksamkeit und auch die Grenzen der modernen Radioonkologie aufzeigen. Dabei werden die typischen Indikationen zur Strahlentherapie besprochen und die zu erwartende Prognose und evtl. auftretende Nebenwirkungen besprochen. Weiterhin wird auf die Wechselwirkungen zwischen der operativen Versorgung inklusive der verwendeten Implantate und der sich anschließenden Bestrahlung eingegangen.

Abstract

The treatment of malignant diseases of the spine is multidisciplinary. In the majority of cases, radiotherapy is discussed as adjuvant treatment after surgery, in individual cases neoadjuvant or definitive treatment is taken into consideration. The present work shows the possibilities, effectiveness and limitations of modern radiotherapy. The typical indications for radiotherapy at the spine are discussed and the expected prognosis and side effects are explained. Furthermore, the interactions between surgery, including the physical aspects of the implanted devices and the subsequent irradiation are discussed.

Schlüsselwörter

Spinale Metastasen - Strahlentherapie - Körperstereotaxie - PEEK - Carbonfaser

Keywords

Spinal metastases - Radiotherapy - SBRT; PEEK - Carbonfibre
 

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