Neurologic, oncologic, mechanical, and systemic and other decision frameworks for spinal disease Review
| Authors: | Newman, W. C.; Laufer, I.; Bilsky, M. H. |
| Review Title: | Neurologic, oncologic, mechanical, and systemic and other decision frameworks for spinal disease |
| Abstract: | The incidence of metastatic spinal disease is increasing as systemic treatment options are improving and concurrently increasing the life expectancy of patients, and the interventions are becoming increasingly complex. Treatment decisions are also complicated by the increasing armamentarium of surgical treatment options. Decision-making frameworks such as NOMS (neurologic, oncologic, mechanical, and systemic) help guide practitioners in their decision making and provide a structure that would be readily adaptable to the evolving landscape of systemic, surgical, and radiation treatments. This article describes these decision-making frameworks, discusses their relative benefits and shortcomings, and details our approach to treating these complex patients. © 2020 Elsevier Inc. |
| Keywords: | cancer survival; cancer surgery; review; cancer radiotherapy; clinical assessment; algorithm; clinical evaluation; scoring system; fitness; stereotactic body radiotherapy; stereotactic radiosurgery; stereotactic body radiation therapy; decision making; functional status; spinal cord metastasis; spine disease; spinal instability neoplastic score; cancer prognosis; human; priority journal; metastatic epidural spinal cord compression; noms; neurologic disease assessment; functional status assessment; lmnop |
| Journal Title: | Neurosurgery Clinics of North America |
| Volume: | 31 |
| Issue: | 2 |
| ISSN: | 1042-3680 |
| Publisher: | W.B. Saunders Co-Elsevier Inc. |
| Date Published: | 2020-04-01 |
| Start Page: | 151 |
| End Page: | 166 |
| Language: | English |
| DOI: | 10.1016/j.nec.2019.11.005 |
| PUBMED: | 32147008 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Review -- Export Date: 1 April 2020 -- Source: Scopus |
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