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This chapter provides a comprehensive overview of the side effects associated with Stereotactic Body Radiation Therapy (SBRT) for spinal metastases and their management. The topics covered include pain flare, radiation myelopathy, vertebral compression fracture, radiation myositis, esophageal toxicity and plexopathy. Strategies to both mitigate and manage each side effect category are described. The chapter underscores the importance of understanding and managing these toxicities to improve patient outcomes. It emphasizes the need for accurate identification and treatment of nearby organs at risk, as well as the use of clinical strategies to minimize side effects.

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Spine Radiation Toxicity and Management

  • 章节

  • 发表日期：

    2025年

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  • Boris Mueller

摘要

This chapter provides a comprehensive overview of the side effects associated with Stereotactic Body Radiation Therapy (SBRT) for spinal metastases and their management. The topics covered include pain flare, radiation myelopathy, vertebral compression fracture, radiation myositis, esophageal toxicity and plexopathy. Strategies to both mitigate and manage each side effect category are described. The chapter underscores the importance of understanding and managing these toxicities to improve patient outcomes. It emphasizes the need for accurate identification and treatment of nearby organs at risk, as well as the use of clinical strategies to minimize side effects.