Veidlapa Nr. M-3 (8)
Study Course Description
Vertebral Surgery II. Vertebral Tumors and MTS. Operative Treatment. Open and Minimally Invasive Surgeries
Course Code
RMK_017
Branch of Science
Clinical medicine
ECTS
8.00
Target Audience
Medicine
LQF
Level 8
Study Course Implementer
Course Supervisor
Jānis Osītis
Residency Speciality
Speciality
Vertebral surgeon
Supervisor of Medical Speciality
Jānis Osītis
Contacts
-
About Study Course
Objective
Provide up-to-date systematized knowledge and practical skills to ensure skills in surgical treatment of metastases in the spine and primary tumors, making planning of operations realistic and coordinated with other treatment methods (stabilization of the spine adapted to radiation therapy, minimally invasive ablation of metastases in cases where it is possible, separation of a complex pathological process or maintaining spinal stability and preventing neurological deficits). In this course, the knowledge and surgical skills acquired in previous courses are used by improving and developing them. Training in a clinic with a large number of operations on patients of the appropriate profile is desirable.
Learning Outcomes
Knowledge
1.Acquired knowledge to realistically plan spine surgery for an oncological patient, choosing the appropriate type of surgery and technique.
Skills
1.The ability to independently perform decompression-fixation and vertebroplasty surgery in the case of a tumor, assisted implantation of a vertebral body prosthesis.
Competences
1.Make a reasoned decision about the possibility and type of surgery, as well as the choice of implants for the treatment of oncological processes in the spine.
Assessment
Individual work
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Individual work |
-
|
-
|
|
A concise report in PPT format on one of the topics covered in the course.
|
||
Examination
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Examination |
-
|
-
|
|
Assessment of practical skills in a 10-point system at the end of the course, conducted by the lecturer from whom the resident received practical training.
Assessment of theoretical knowledge in a 10-point system for the written review presented within the seminar.
|
||
Study Course Theme Plan
FULL-TIME
Part 1
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Weinstein-Boriani-Biagini surgical staging system, surgical planning. Anatomical boundaries. Radical resection and partial excision. Realistic surgery planning. Postoperative care and further control and treatment, features.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Preoperative preparation, radiation therapy, embolization. Gains and losses. Staged operations: stabilization, therapy, resection.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Biopsies, vertebroplasty, ablation techniques. Percutaneous fixation. X-ray neutral materials were applied to the spine for fixation and stabilization.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Open operations for tumors of the thoracolumbar spine with a dorsal approach, decompression, fixation, options for tumor resection. Spinal tumor surgeries with a ventral or lateral approach. Prosthetics of vertebral bodies, peculiarities in case of oncological process.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Combined approaches. En Block vertebrectomy.
|
Total ECTS (Creditpoints):
8.00
Number of Residency Seminars:
5
Length (weeks):
6
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
1.
AO spine, Primary Spinal Tumors Thieme 2015. 59.-188. Lpp.
2.
AO spine, Metastatic Spinal Tumors Thieme 2015. 45.-122. lpp.
3.
Spinal Metastasis Treatment Guidelines
Additional Reading
1.
European Journal of Cancer