• Raveesh Sunkara

Advances In Spinal Tumour Treatments


Surgery: Surgery is the first step of treatment after the diagnosis of a spinal tumour has been made. The reason behind this is the need for definitive tissue diagnosis without which we cannot plan the entire course of the treatment. This holds true for most of the tumours unless it is an inaccessible tumour or a highly vascular tumour which can benefit from a per operative embolization by interventional radiology. For brain tumours and spinal column tumours, the principles of precision and utmost tissue respect remain the same. The goal of spinal cancer surgery is determined by a number of factors, including the tumor's location and grade, as well as the symptoms that are present. Broadly the end goal of surgery may be to remove the tumour completely or may be just to relieve symptoms of pain in patients where complete removal is not possible or is not very beneficial to the patient like metastatic spinal tumours. Previously, surgeries to remove spinal tumours were quite extensive and risky. We can now perform many of these operations with less invasive techniques because of technological advancements. Some of these advanced techniques deployed in spinal tumour surgery inside the operation theater include: • High powered microscopes which gives a magnified image while surgery aiding in utmost precision. • Neuronavigation enables pinpoint location of the tumors leading to less invasive procedures.

• Intraoperative IGC techniques, intraoperative Doppler which enable real time Visualization of blood vessels.

• Never monitoring which helps avoid damage to even the smallest of nerves thus ensuring zero postoperative deficits. Interventional Radiology(IR): Our doctors can use interventional radiology to visualize malignancies and execute image-guided interventional procedures in real-time. We can do minimal invasive biopsies, provide medicine directly to tumors, and provide palliative care, this becomes the best modality in spinal tumors that are not operable. Some tumors benefit drastically from preoperative embolization techniques which makes the tumor less vascular thus avoiding any unnecessary blood loss during surgery. We do this very regularly at our setup and a number of patients have already benefited from this advancement in IR. Minimally invasive techniques such as kyphoplasty and vertebroplasty are used to treat compression fractures of the spinal vertebrae caused by spine cancer. Compression fractures of the vertebrae in the spine can result in severe back discomfort, spinal deformity, and height loss. To repair damaged or collapsed vertebrae, our doctors may use kyphoplasty or vertebroplasty. Both kyphoplasty and vertebroplasty have a recovery time, and they can assist to relieve pain, restore height, strengthen the vertebra, reducing spinal deformity, and stabilizing fractures.


Chemotherapy: Our medical oncologists take a proactive and innovative approach to treating primary and metastatic spine cancer, tailoring spinal cancer chemotherapy medications and delivery systems to your specific needs. Chemotherapy medications can be either orally as pills or injected directly into the vein. Drugs may be injected directly into the cerebrospinal fluid for some spinal cancers. Chemotherapy can be given alone or in combination with other treatments for spine cancer, such as surgery and/or radiation therapy.


Radiation Therapy:


We use highly focused delivery devices to maximize the dose and precision of radiation delivered to a spinal tumor while minimizing damage to healthy tissue. Following surgical removal of a tumor, radiation therapy is often employed to kill microscopic tumor cells left behind. It could possibly be used to treat metastatic spinal cancers (tumors that have spread to the spine from another part of the body). The type and size of your spinal tumor, as well as the depth of your condition, will determine the specifics of your radiation treatment. For spinal cancer, external radiation therapy is often employed. The tumor and the area around it are usually included in the radiated area. For metastatic spinal tumors, radiation is sometimes given to the entire spine. Targeted Therapy: Specific pathways or anomalies in spinal tumor cells involved in tumor growth are targeted in targeted therapy for spine cancer. Targeted therapy will most likely be used in conjunction with other treatments for spinal cancer, such as chemotherapy. Patients with a tumor recurrence after earlier spine cancer treatments may be candidates for this treatment. A monoclonal antibody is a sort of targeted therapy for spinal tumors that works by preventing the creation of new blood vessels that a tumor requires to grow (a process known as angiogenesis).


Dr. Ravesh Sunkara has 7 years of experience in treating patients with spinal tumors and uses a multidisciplinary approach that combines expertise, compassion, and cutting-edge technology in order to treat his patients who suffer from disorders of the brain and spine. Dr. Sunkara has an unprecedented success record and innumerable happy patients. He strongly believes that every patient deserves the best care possible and the form of care that he offers is extremely comprehensive in nature. He has incredible medical experience working at renowned institutions. When you’re in the care of Dr. Sunkara, you’re safe. He’s undoubtedly the Best Spine Tumour Specialist in Hyderabad. Brain tumor treatment in Hyderabad has been revolutionized. Dr. Raveesh currently practices at Yashoda Hospital which is without a doubt the best Spine surgery hospital in all of Telangana.


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