Barriers to rehabilitation of the malignant spine Journal Article
| Author: | Stubblefield, M. D. |
| Article Title: | Barriers to rehabilitation of the malignant spine |
| Abstract: | Improvements in detection, decompressive surgical technique, and radiotherapeutic techniques have significantly improved our ability to identify and treat spine malignancies. These innovations have allowed for decision-making algorithms that value quality of life and function along with quantity of life when deciding among the various therapeutic options. Despite these advances, significant barriers to rehabilitation of patients with spinal malignancies remain. These barriers include deficits in the neurologic, oncologic, medical, pain, and social support status of the patient. This article will review these barriers and discuss management strategies that emphasize the importance of diagnostic accuracy and a comprehensive team approach. © 2008 Thomas Land Publishers, Inc. |
| Keywords: | cancer survival; review; multimodality cancer therapy; cancer patient; cancer radiotherapy; nuclear magnetic resonance imaging; medical decision making; pain; bone pain; cancer pain; patient monitoring; medicare; patient care; social support; cardiovascular system; decompression surgery; spinal cord compression; spine; muscle weakness; surgery; radiation therapy; blood pressure; corticosteroid; rehabilitation; neurological complication; neuropathic pain; physiotherapy; rehabilitation care; spine metastasis; spine cancer; hematological parameters; epidural disease; brace |
| Journal Title: | Topics in Spinal Cord Injury Rehabilitation |
| Volume: | 14 |
| Issue: | 2 |
| ISSN: | 1082-0744 |
| Publisher: | Thomas Land Publishers |
| Date Published: | 2008-09-01 |
| Start Page: | 19 |
| End Page: | 30 |
| Language: | English |
| DOI: | 10.1310/sci1402-19 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 2" - "Export Date: 17 November 2011" - "CODEN: TSIRF" - "Source: Scopus" |
