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Vertebral compression fractures

Rose JCO 2009

62 patients with 71 target volumes

SF RS with 16 – 24Gy

Predictive factors for compression fractures:

Rose JCP 2009

• Osteolytic metastases

• Size of metastases

• Location below T 10

Cunha IJROBP 2012

• Osteolytic metastases

• Kyphotic/scoliotic deformity

ESTRO SBRT 2017 - Matthias Guckenberger

17

07.09.17

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Overview

1. Conventional radiotherapy for painful

vertabral metastases

2. Spinal cord tolerance

3. Technique of spinal SBRT

4. Outcome of spinal SBRT

ESTRO SBRT 2017 - Matthias Guckenberger

18

07.09.17