Sharing the booklet on anterior approaches to the spine created for the Live Procine and Cadaveric Workshop conducted on 16th Feb 2020 as a part of Asia Pacific Spine Society’s live surgery course held in Mumbai.
The images in the document are taken from various textbooks and articles and I do not own copyright on these images. They are selected here in this booklet for their quality and clarity.
I would recommend the following books for further reading if you do like the images in this booklet.
Metastatic lesions account for majority spinal tumors. Primary spinal malignancies are rare, however, surgery in these tumours can be curative if performed with an en bloc technique. Intralesional excision of primary spinal tumor such as chordoma is associated with a 100% recurrence rate. Hence, it is important to know the histological diagnosis before embarking on surgical treatment for any spinal tumor. A surgeon will get only one chance to offer curative surgery in primary spinal malignancy and biopsy is extremely important to different such malignancies from the more common metastatic lesions.
Following is an excellent talk from the Seattle Science Foundation by Dr. Ehud Mendel, Professor of Neurosurgery at Ohio State University, Columbus, OH, on considerations for En Bloc resection for primary spinal tumors.