Publications by authors named "O Barzilai"
Objective: This review aims to formulate the most current, evidence-based recommendations regarding radiation therapy, radiosurgery, and chemotherapy for patients with metastatic spine tumors.
Methods: A systematic literature using PRISMA methodology was performed from 2010-2023 using the search terms "radiosurgery," "radiation therapy," "external beam radiation therapy," or "stereotactic body radiation therapy" in conjunction with "spinal," "spine," "metastasis," "metastases," or "metastatic."
Results: Spinal metastases should be managed in a multidisciplinary team consisting of spine surgeons, radiation oncologists, radiologists and oncologists.
Importance: Stereotactic body radiation therapy (SBRT) for spinal metastases improves symptomatic outcomes and local control compared to conventional radiotherapy. Treatment failure most often occurs within the epidural space, where dose is constrained by the risk of radiation myelitis (RM). Current constraints designed to prevent RM after spine SBRT are derived from limited data.
View Article and Find Full Text PDFEarly human collective practices and symbolism in the Early Upper Paleolithic of Southwest Asia.
Proc Natl Acad Sci U S A
December 2024
Article Synopsis
- Identifying Paleolithic communal rituals helps understand group identity and cohesion.
- Evidence shows that collective rituals took place in Manot Cave during the Early Upper Paleolithic, centered around an engraved boulder resembling a tortoise.
- Analyses of artifacts and cave acoustics indicate fire was used for illumination, and the site was ideal for gatherings, stressing its role in social networking among EUP communities.
Article Synopsis
- Robotic arm surgical systems are increasingly being evaluated for their effectiveness in neurosurgery, particularly for spinal nerve sheath tumors (NSTs), which are less commonly treated with this technology.
- A study looked at 19 cases of robotic-assisted tumor resections, with key findings showing a 100% gross total resection rate and shorter hospital stays compared to traditional open surgery.
- The results suggest that robotic surgery can be a safe and effective option for complex tumors, potentially reducing surgical risks and improving patient outcomes in neurosurgery.
Background: Intrathecal pumps (ITPs) are indicated for refractory cancer pain and decrease systemic opioid requirements. While not yet indicated for cancer pain, spinal cord stimulators (SCSs) are used off-label for cancer pain, with increasing evidence of their efficacy.
Materials And Methods: A retrospective chart review was conducted of patients who underwent both ITP and at least SCS trial for cancer pain.