Dr. Yanamadala also treats spine tumors. He works with a team of neuro-oncologists, medical oncologists, and radiation oncologists to determine the best treatment strategies for patients with spinal tumors. With advances in noninvasive treatments like stereotactic body radiation therapy, patients need surgery less frequently today than in the past. However, with spinal cord compression or pathological fractures, we will treat patients surgically to ensure the best functional outcomes for patients. All treatment decisions are made as part of a collaborative multidisciplinary process that includes our weekly tumor board.
Metastatic Breast Cancer - Restoring
This 49 year old woman with metastatic breast cancer presented with progressive difficulty walking and was found to have L1 pathological fracture with severe spinal cord compression and associated focal kyphosis. I performed a minimally invasive lateral corpectomy for her at this level, allowing me to decompress the spinal cord and also restore vertebral body height and alignment. She underwent radiation therapy six weeks after surgery to ensure that we completely treated the tumor. She was walking without difficulty three months out after undergoing physical therapy and rehab and is now one year out from surgery, where she continues to be in remission from her cancer.
Scoliosis after Previous Fusion Surgery
This woman had progressive scoliosis after three prior lumbar spine fusions. She had developed progressive pain and disability over the past few years that became unbearable and really prevented her from doing most of her activities of daily living. The correction of this required a three staged procedure over two days, restoring her ability to function normally once again.