Abstract
Radiosurgery is the utmost form of targeted radiation treatment that can eradicate the gross tumors, and it is a non-invasive procedure. It requires a high degree of accuracy and precision in targeting the deep-seated tumors which are usually surrounded by the functionally important normal structures. Recent advances of immobilization method and computerizedradiation delivery method with intensity modulation made it possible to perform radiosurgery to the spine. Spine radiosurgery achieved a rapid and durable pain control in majority of patients with spine metastasis. Radiosurgical decompression of the epidural spinal cord compression improved neurological function and ambulation. The most critical constraint of spine radiosurgery is the potential damage to the spinal cord. Nevertheless, the procedure is proven safe and complication has been minimal. Spine radiosurgery can be used for both malignant and benign tumors of the spinal column.
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